| Life Builders | |
|
3200 E Guasti Rd Ste 100 Ontario CA 91761-8661 | |
| (626) 469-1158 | |
| Not Available |
| Full Name | Life Builders |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3200 E Guasti Rd Ste 100, Ontario, California |
| Authorized Official Name and Position | Tevis Verrett (CFO) |
| Authorized Official Contact | 8182825295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Builders 10808 Foothill Blvd # 160-154 Rancho Cucamonga CA 91730-3889 Ph: () - | Life Builders 3200 E Guasti Rd Ste 100 Ontario CA 91761-8661 Ph: (626) 469-1158 |
| NPI Number | 1679230809 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 04/13/2022 |
| Certification Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679230809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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