# LIFESTYLES FAMILY COUNSELING & CONSULTATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LifeStyles Counseling & Consultation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093125551
- **Authorized official:** LAQUENTA M LONG LMFT (PRESIDENT/OWNER)
- **Authorized official phone:** (909) 987-8400

## Contact information

- **Practice address:** 8350 ARCHIBALD AVE, SUITE 125, RANCHO CUCAMONGA, CA 91730-3669
- **Practice address phone:** (909) 987-8400
- **Mailing address:** 8350 ARCHIBALD AVE, SUITE 125, RANCHO CUCAMONGA, CA 91730-3669
- **Mailing address phone:** (909) 987-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC53992 | CA | Yes |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 05/05/2014