| Empire Family Counseling & Consultation | |
|
8350 Archibald Ave Ste 100 Rancho Cucamonga CA 91730-3670 | |
| (909) 705-0773 | |
| Not Available |
| Full Name | Empire Family Counseling & Consultation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8350 Archibald Ave Ste 100, Rancho Cucamonga, California |
| Authorized Official Name and Position | Patrice Douglas (OWNER) |
| Authorized Official Contact | 9097050773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empire Family Counseling & Consultation 8350 Archibald Ave Ste 100 Rancho Cucamonga CA 91730-3670 Ph: (909) 705-0773 | Empire Family Counseling & Consultation 8350 Archibald Ave Ste 100 Rancho Cucamonga CA 91730-3670 Ph: (909) 705-0773 |
| NPI Number | 1518591155 |
|---|---|
| Provider Enumeration Date | 02/22/2020 |
| Last Update Date | 02/22/2020 |
| Certification Date | 02/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518591155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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