Individual
ALBERT FELICIANO BALDERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 N EUCLID AVE, ONTARIO, CA 91762-2729
(909) 983-2020
(909) 983-6847
Mailing address
310 N INDIAN HILL BLVD # 627, CLAREMONT, CA 91711-4611
(909) 559-6546
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT127798
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951946482
—
CA
Enumeration date
10/20/2010
Last updated
08/03/2023
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