| Nova Individual And Family Therapy Inc | |
|
9431 Haven Ave Rancho Cucamonga CA 91730-5878 | |
| (760) 281-3364 | |
| Not Available |
| Full Name | Nova Individual And Family Therapy Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 9431 Haven Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | Kirsten Cheong (PRESIDENT) |
| Authorized Official Contact | 7602813364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Individual And Family Therapy Inc 9431 Haven Ave Rancho Cucamonga CA 91730-5878 Ph: (760) 281-3364 | Nova Individual And Family Therapy Inc 9431 Haven Ave Rancho Cucamonga CA 91730-5878 Ph: (760) 281-3364 |
| NPI Number | 1710696851 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710696851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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