Individual
MRS. ANJALI SEQUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 580-2141
Mailing address
PO BOX 9485, SAN BERNARDINO, CA 92427-0485
(909) 887-3997
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 46879
CA
Other
Enumeration date
02/05/2007
Last updated
01/06/2015
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