Organization
LAVENDER MOOD FAMILY COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA MORALES LMFT (CHIEF EXECUTIVE OFFICER)
(562) 270-5113
Entity
Organization
Contact information
Practice address
337 N VINEYARD AVE STE 400, ONTARIO, CA 91764-4436
(562) 270-5113
(562) 261-0317
Mailing address
337 N VINEYARD AVE STE 400, ONTARIO, CA 91764-4436
(562) 270-5113
(562) 261-0317
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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