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Organization
LA VID TREE OF LIFE MARRIAGE AND FAMILY THERAPY SERVICES INC.
Active
Organization
LA VID TREE OF LIFE MARRIAGE AND FAMILY THERAPY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLYN XIOMARA MENDOZA LMFT (PRESIDENT)
(909) 631-5768
Entity
Organization
Contact information
Practice address
8273 WHITE OAK AVE # B, RANCHO CUCAMONGA, CA 91730-7671
(840) 207-9256
Mailing address
523 W ELM ST, ONTARIO, CA 91762-5712
(909) 631-5768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
251B00000X
Case Management Agency
—
NULL
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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