| Antonia Tellez, Lmft | |
|
10737 Laurel St Ste 220 Rancho Cucamonga CA 91730-3837 | |
| (909) 476-9556 | |
| (909) 476-9557 |
| Full Name | Antonia Tellez, Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 10737 Laurel St Ste 220, Rancho Cucamonga, California |
| Authorized Official Name and Position | Antonia Tellez (OWNER/OPERATOR) |
| Authorized Official Contact | 9099109279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonia Tellez, Lmft 10737 Laurel St Ste 220 Rancho Cucamonga CA 91730-3837 Ph: (909) 476-9556 | Antonia Tellez, Lmft 10737 Laurel St Ste 220 Rancho Cucamonga CA 91730-3837 Ph: (909) 476-9556 |
| NPI Number | 1376009969 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 07/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376009969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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