Individual
MISS LUCINDA BAHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCH TECH
Contact information
Practice address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(714) 289-3936
Mailing address
164 LANTANA DR, STANTON, CA 90680-4014
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42805
CA
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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