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Organization
FOOTPRINTS COUNSELING SERVICES
Active
Organization
FOOTPRINTS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLETA MICHELLE GUSTAFSON LMFT (OWNER, THERAPIST)
(909) 283-0997
Entity
Organization
Contact information
Practice address
34455 YUCAIPA BLVD STE 206, YUCAIPA, CA 92399-2476
(909) 283-0997
Mailing address
PO BOX 882, YUCAIPA, CA 92399-0882
(909) 283-0997
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
49983
CA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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