| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 13149 3rd St, Chino, California |
| Authorized Official Name and Position | Rocio Garcia Reyes (PRESIDENT) |
| Authorized Official Contact | 9093426681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13149 3rd St Chino CA 91710-4007 Ph: (909) 342-6681 | 13149 3rd St Chino CA 91710-4007 Ph: (909) 342-6681 |
| NPI Number | 1225662885 |
|---|---|
| Provider Enumeration Date | 02/23/2020 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225662885 | NPI | - | NPPES |
| 100208 | Other | CA | LICENSE LIFE MARRIED FAMILY THERAPIST |
| 116288 | Other | CA | LICENSE LIFE MARRIED FAMILY THERAPIST |
| 86375 | Other | CA | LICENSE LIFE MARRIED FAMILY THERAPIST |
| AMFT105366 | Other | CA | LICENSE LIFE MARRIAGE FAMILY THERAPIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Ebmd, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5353 G St, Chino, CA 91710 Phone: 909-590-3700 | |
Communication A To Z Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12188 Central Ave # 590, Chino, CA 91710 Phone: 909-393-6591 | |
Reslience Within Jeannie Tse Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14726 Ramona Ave Ste S17, Chino, CA 91710 Phone: 626-386-3316 Fax: 626-270-4237 | |
Wholistic Family Therapy & Wellness Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11780 Central Ave Ste 115, Chino, CA 91710 Phone: 909-364-1104 | |
Mainline Family Counseling Service Prof Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14726 Ramona Ave # E10, Chino, CA 91710 Phone: 909-334-2824 |