| Beauregard Family Therapy Group | |
|
1325 E Cooley Dr Ste 106 Colton CA 92324-3966 | |
| (909) 855-0348 | |
| (909) 752-6182 |
| Full Name | Beauregard Family Therapy Group |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1325 E Cooley Dr Ste 106, Colton, California |
| Authorized Official Name and Position | Jonathan George Beauregard (OWNER) |
| Authorized Official Contact | 9098550348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beauregard Family Therapy Group 1325 E Cooley Dr Ste 106 Colton CA 92324-3966 Ph: (909) 855-0348 | Beauregard Family Therapy Group 1325 E Cooley Dr Ste 106 Colton CA 92324-3966 Ph: (909) 855-0348 |
| NPI Number | 1760154330 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760154330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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