| Brandon Mansouri Marriage & Family Therapist, Inc. | |
|
4344 Latham St Ste 110 Riverside CA 92501-1773 | |
| (716) 259-2779 | |
| Not Available |
| Full Name | Brandon Mansouri Marriage & Family Therapist, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4344 Latham St Ste 110, Riverside, California |
| Authorized Official Name and Position | Brandy Mansouri (OWNER) |
| Authorized Official Contact | 7162592779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Mansouri Marriage & Family Therapist, Inc. 4344 Latham St Ste 110 Riverside CA 92501-1773 Ph: (716) 259-2779 | Brandon Mansouri Marriage & Family Therapist, Inc. 4344 Latham St Ste 110 Riverside CA 92501-1773 Ph: (716) 259-2779 |
| NPI Number | 1598337677 |
|---|---|
| Provider Enumeration Date | 07/16/2021 |
| Last Update Date | 07/16/2021 |
| Certification Date | 07/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598337677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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