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Organization
BONITA COUNSELING CENTER
Active
Organization
BONITA COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL EDWARD MCCLARY LMFT (THERAPIST/PARTNER)
(626) 695-0425
Entity
Organization
Contact information
Practice address
425 W. BONITA AVE., STE 204, SAN DIMAS, CA 91773
(909) 592-4152
(909) 592-2912
Mailing address
425 W. BONITA AVE., STE 204, SAN DIMAS, CA 91773
(909) 592-4152
(909) 592-2912
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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