| Rancho Cucamonga Therapist | |
|
7365 Carnelian St Ste. 202 Rancho Cucamonga CA 91730-1158 | |
| (951) 218-0951 | |
| Not Available |
| Full Name | Rancho Cucamonga Therapist |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7365 Carnelian St, Rancho Cucamonga, California |
| Authorized Official Name and Position | Stacey Merrell (PRESIDENT) |
| Authorized Official Contact | 9512180951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Cucamonga Therapist 7365 Carnelian St Ste. 202 Rancho Cucamonga CA 91730-1158 Ph: (951) 218-0951 | Rancho Cucamonga Therapist 7365 Carnelian St Ste. 202 Rancho Cucamonga CA 91730-1158 Ph: (951) 218-0951 |
| NPI Number | 1861938722 |
|---|---|
| Provider Enumeration Date | 01/16/2017 |
| Last Update Date | 12/07/2021 |
| Certification Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861938722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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