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Organization
WELLNESS RANCH EQUINE ASSISTED THERAPY
Active
Organization
WELLNESS RANCH EQUINE ASSISTED THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA D MANZO MA, LPCC (EXECUTIVE DIRECTOR)
(909) 710-3055
Entity
Organization
Contact information
Practice address
9721 BRILLIANT LN, RANCHO CUCAMONGA, CA 91737-2920
(909) 710-3055
Mailing address
9721 BRILLIANT LN, RANCHO CUCAMONGA, CA 91737-2920
(909) 710-3055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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