Koi Marriage and Family Therapy
NPI #1659119477 in West Covina, California
Provider Information
- NPI Number
- 1659119477
- Entity Type
- Organization
- Organization Name
- Koi Marriage and Family Therapy
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 16, 2024
- Last Updated
- Jul 16, 2024
Practice Location
- Address
- 640 S SUNSET AVE STE 105
- City
- West Covina
- State
- California
- ZIP Code
- 91790-2808
- Phone
- (626) 665-6653
Authorized Official
- Name
- MONICA MICHELLE TIZNADO
- Title
- LMFT
- Phone
- (626) 665-6653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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