Mia Ray
NPI #1245847029 in Venice, California
Provider Information
- NPI Number
- 1245847029
- Entity Type
- Individual
- Name
- Mia Ray
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Sep 25, 2020
- Last Updated
- Jan 24, 2024
Practice Location
- Address
- 204 HAMPTON DR
- City
- Venice
- State
- California
- ZIP Code
- 90291-8633
- Phone
- (626) 265-0750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Marriage & Family Therapist |
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