# MIA VELARDE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952033433
- **Authorized official:** MIA VELARDE (MFT)
- **Authorized official phone:** (909) 238-8474

## Contact information

- **Practice address:** 7020 TOLENTINO PL, RANCHO CUCAMONGA, CA 91701-9003
- **Practice address phone:** (909) 238-8474
- **Mailing address:** 7020 TOLENTINO PL, RANCHO CUCAMONGA, CA 91701-9003
- **Mailing address phone:** (909) 764-8830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2022
- **Last updated:** 09/09/2022