Individual
MS. CHRISTINE L TAKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E HOLT AVE STE B, POMONA, CA 91767-5407
(909) 620-2521
Mailing address
2825 TUOLUMNE PL UNIT F, ONTARIO, CA 91761-0167
(909) 947-5687
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RW1713
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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