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Organization
EMPIRE FAMILY COUNSELING & CONSULTATION
Active
Organization
EMPIRE FAMILY COUNSELING & CONSULTATION
Active
Other names
Empire Counseling & Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE DOUGLAS LMFT (OWNER)
(909) 705-0773
Entity
Organization
Contact information
Practice address
8350 ARCHIBALD AVE STE 100, RANCHO CUCAMONGA, CA 91730-3670
(909) 705-0773
Mailing address
8350 ARCHIBALD AVE STE 100, RANCHO CUCAMONGA, CA 91730-3670
(909) 705-0773
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/22/2020
Last updated
02/22/2020
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