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Organization
CUCAMONGA COUSELING AND BEHAVIORAL SOLUTIONS
Active
Organization
CUCAMONGA COUSELING AND BEHAVIORAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LENA M PAYNE LCSW, QCSW (PARTNER)
(951) 751-2029
Entity
Organization
Contact information
Practice address
9333 BASELINE RD, SUITE 150, RANCHO CUCAMONGA, CA 91730-1350
(951) 751-2029
Mailing address
PO BOX 464, ETIWANDA, CA 91739-0464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25874
CA
Other
Enumeration date
05/22/2010
Last updated
05/22/2010
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