Marisa Jantzen

NPI #1639299217 in Lawndale, California

Provider Information

NPI Number
1639299217
Entity Type
Individual
Name
Marisa Jantzen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
16129 PRAIRIE AVE
ZIP Code
90260-2759
Phone
(310) 542-4825

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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