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Organization
DIOSA MARRIAGE AND FAMILY THERAPY PC
Active
Organization
DIOSA MARRIAGE AND FAMILY THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA MARIA LOPEZ (OWNER)
(760) 253-1834
Entity
Organization
Contact information
Practice address
14420 CIVIC DR STE 6, VICTORVILLE, CA 92392-2384
(760) 253-1834
(760) 267-9109
Mailing address
14420 CIVIC DR STE 6, VICTORVILLE, CA 92392-2384
(760) 253-1834
(760) 267-9109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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