Individual
AICA CIRELLA CUSTODIO SAUCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 SAN BERNARDINO ST, MONTCLAIR, CA 91763-2952
(909) 399-3700
Mailing address
14763 PALMERA CT, BALDWIN PARK, CA 91706-3446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
AMFT115619
CA
Other
Enumeration date
05/11/2018
Last updated
11/21/2022
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