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Organization
LIFESTYLES FAMILY COUNSELING & CONSULTATION, INC
Active
Organization
LIFESTYLES FAMILY COUNSELING & CONSULTATION, INC
Active
Other names
LifeStyles Counseling & Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUENTA M LONG LMFT (PRESIDENT/OWNER)
(909) 987-8400
Entity
Organization
Contact information
Practice address
8350 ARCHIBALD AVE, SUITE 125, RANCHO CUCAMONGA, CA 91730-3669
(909) 987-8400
Mailing address
8350 ARCHIBALD AVE, SUITE 125, RANCHO CUCAMONGA, CA 91730-3669
(909) 987-8400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC53992
CA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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