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Organization
BLUE OAK COUNSELING SERVICES, INC.
Active
Organization
BLUE OAK COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA TANGTHEINKUL AVILA MA, LMFT (CEO)
(909) 366-4712
Entity
Organization
Contact information
Practice address
3200 E GUASTI RD STE 100, ONTARIO, CA 91761-8661
(909) 306-8686
Mailing address
3200 E GUASTI RD STE 100, ONTARIO, CA 91761-8661
(909) 306-8686
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
12/13/2024
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