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MRS. SANDRA MARGARET ANTONELLI
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1700385085
Individual Registrant:MRS. SANDRA MARGARET ANTONELLI
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
14758 PIPELINE AVE STE D CHINO HILLS, CA 91709-6025 US
Tel: 909-631-9916 Fax: --
Tel: 909-631-9916 Fax: --
Contact information for business:
14758 PIPELINE AVE STE D CHINO HILLS, CA 91709-6025 US
Tel: 909-631-9916 Fax: --
Tel: 909-631-9916 Fax: --
Registration Information:
NPI: 1700385085
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | LMFT102717 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
