Individual
MRS. CHRISTINE SARAH CAPELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
14228 FARRALON CT, FONTANA, CA 92336-3715
(909) 587-3956
Mailing address
14228 FARRALON CT, FONTANA, CA 92336-3715
(909) 587-3956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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