| Shelley Martin, Licensed Marriage And Family Therapist, Inc | |
|
9220 Haven Ave Ste 100 Rancho Cucamonga CA 91730-8551 | |
| (661) 303-6975 | |
| (951) 242-8741 |
| Full Name | Shelley Martin, Licensed Marriage And Family Therapist, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 9220 Haven Ave Ste 100, Rancho Cucamonga, California |
| Authorized Official Name and Position | Shelley Martin (LMFT) |
| Authorized Official Contact | 6613036975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Martin, Licensed Marriage And Family Therapist, Inc 27120 Eucalyptus Ave Ste G162 Moreno Valley CA 92555-4543 Ph: (661) 303-6975 | Shelley Martin, Licensed Marriage And Family Therapist, Inc 9220 Haven Ave Ste 100 Rancho Cucamonga CA 91730-8551 Ph: (661) 303-6975 |
| NPI Number | 1548842081 |
|---|---|
| Provider Enumeration Date | 04/24/2021 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548842081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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