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Organization
LAVENDER MOOD FAMILY COUNSELING INC
Active
Organization
LAVENDER MOOD FAMILY COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA MORALES LMFT (CHIEF EXECUTIVE OFFICER)
(562) 270-5113
Entity
Organization
Contact information
Practice address
337 N VINEYARD AVE STE 400, ONTARIO, CA 91764-4436
(562) 270-5113
(562) 261-0317
Mailing address
337 N VINEYARD AVE STE 400, ONTARIO, CA 91764-4436
(562) 270-5113
(562) 261-0317
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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