Organization
BURGOS PSYCHOLOGICAL SERVICES
Active
Other names
Burgos Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE BURGOS (OWNER)
(909) 451-9904
Entity
Organization
Contact information
Practice address
16425 EL REVINO DR, FONTANA, CA 92336-5843
(909) 451-9904
(909) 310-9763
Mailing address
PO BOX 1025, ONTARIO, CA 91762-0025
(909) 451-9904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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