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2050 Bonita Ave Suite C La Verne CA 91750-4441 | |
| (972) 955-5531 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2050 Bonita Ave, La Verne, California |
| Authorized Official Name and Position | Lisha Singleton (PRESIDENT/CEO) |
| Authorized Official Contact | 9729555531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1726 Monrovia CA 91017-5726 Ph: (972) 955-5531 | 2050 Bonita Ave Suite C La Verne CA 91750-4441 Ph: (972) 955-5531 |
| NPI Number | 1497129126 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497129126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 31151 (California) | Primary |
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