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Organization
TWELVE TWO INC.
Active
Organization
TWELVE TWO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATHENA OBRIEN (AUTHORIZED OFFICIAL)
(909) 477-1910
Entity
Organization
Contact information
Practice address
207 N EUCLID AVE, ONTARIO, CA 91762-3535
(909) 477-1910
Mailing address
13230 WINSLOW DR, RANCHO CUCAMONGA, CA 91739-9271
(909) 477-1910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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