| Dtw Marriage Family Child Counseling Services Inc. | |
|
9431 Haven Ave Ste 128 Rancho Cucamonga CA 91730-5881 | |
| (951) 330-5898 | |
| Not Available |
| Full Name | Dtw Marriage Family Child Counseling Services Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9431 Haven Ave Ste 128, Rancho Cucamonga, California |
| Authorized Official Name and Position | Delsa Tapia Wilson (OWNER) |
| Authorized Official Contact | 9513305898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtw Marriage Family Child Counseling Services Inc. 9431 Haven Ave Ste 128 Rancho Cucamonga CA 91730-5881 Ph: (951) 330-5898 | Dtw Marriage Family Child Counseling Services Inc. 9431 Haven Ave Ste 128 Rancho Cucamonga CA 91730-5881 Ph: (951) 330-5898 |
| NPI Number | 1700530375 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 02/11/2022 |
| Certification Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700530375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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