Individual
CARLA URENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, MFTI
Contact information
Practice address
911 HERBINE STREET, LA VERNE, CA 91750
(909) 833-2986
Mailing address
911 HERBINE STREET, LA VERNE, CA 91750
(909) 833-2986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7565A
OUTPATIENT MENTAL HEALTH
CA
Enumeration date
06/06/2013
Last updated
06/06/2013
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