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>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1346753902

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 909-890-5930  Fax: --

Contact information for business:
Tel: 909-890-5930  Fax: --

Registration Information:
NPI: 1346753902
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist

Legacy codes, insurance codes and state license numbers:



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