| Diosa Marriage And Family Therapy Pc | |
|
14420 Civic Dr Ste 6 Victorville CA 92392-2384 | |
| (760) 253-1834 | |
| (760) 267-9109 |
| Full Name | Diosa Marriage And Family Therapy Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 14420 Civic Dr Ste 6, Victorville, California |
| Authorized Official Name and Position | Anna Maria Lopez (OWNER) |
| Authorized Official Contact | 7602531834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diosa Marriage And Family Therapy Pc 14420 Civic Dr Ste 6 Victorville CA 92392-2384 Ph: (760) 253-1834 | Diosa Marriage And Family Therapy Pc 14420 Civic Dr Ste 6 Victorville CA 92392-2384 Ph: (760) 253-1834 |
| NPI Number | 1417558974 |
|---|---|
| Provider Enumeration Date | 11/02/2020 |
| Last Update Date | 11/02/2020 |
| Certification Date | 11/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417558974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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