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Organization
NOVA INDIVIDUAL AND FAMILY THERAPY INC
Active
Organization
NOVA INDIVIDUAL AND FAMILY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN CHEONG (PRESIDENT)
(760) 281-3364
Entity
Organization
Contact information
Practice address
9431 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5878
(760) 281-3364
Mailing address
9431 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5878
(760) 281-3364
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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