Individual
MRS. ANTENIQUE JITAE NEVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-0026
(909) 386-8229
(909) 890-0574
Mailing address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-0026
(909) 386-8229
(909) 890-0574
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
84634
CA
Other
Enumeration date
09/18/2007
Last updated
05/23/2016
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