Basic Information
Provider Information
NPI: 1275662389
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARONOFF
FirstName: MISTY
MiddleName: MICHELE
NamePrefix: MS.
NameSuffix:  
Credential: MS, LMFT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ALLEN
OtherFirstName: MISTY
OtherMiddleName: MICHELE
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: MS, LMFT
OtherLastNameType: 1
Mailing Information
Address1: 1000 CORPORATE CENTER DR STE 650
Address2:  
City: MONTEREY PARK
State: CA
PostalCode: 917547639
CountryCode: US
TelephoneNumber: 3235264016
FaxNumber: 3235264096
Practice Location
Address1: 1000 CORPORATE CENTER DR STE 650
Address2:  
City: MONTEREY PARK
State: CA
PostalCode: 917547668
CountryCode: US
TelephoneNumber: 3235264016
FaxNumber: 3235264096
Other Information
ProviderEnumerationDate: 03/05/2007
LastUpdateDate: 04/04/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000XMFC47219CAY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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