Individual
MRS. CANDICE YVONNE LEM BROTHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
9479 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5844
(909) 771-8023
Mailing address
10486 ALTA LOMA DR, RANCHO CUCAMONGA, CA 91737-3847
(626) 733-1204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1497
CA
Other
Enumeration date
05/24/2020
Last updated
05/26/2020
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