Most Relevant Information
Provider Data
| NPI Number: | 1003531997 |
| Provider Name: | ANNA ATHANASOUILS |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 131079 |
Most Important Dates
| Enumeration Date: | 10/04/2022 |
| Last Updated: | 10/04/2022 |
Provider Practice Location
15615 ALTON PKWY STE 230
IRVINE
CA
926187306
Practice Location Phone/Fax
| Phone: | 9495286300 |
| Fax: |
Provider Mailing Location
15615 ALTON PKWY STE 230
IRVINE
CA
926187306
Provider Mailing Phone/Fax
| Phone: | 9495286300 |
| Fax: |