Individual
AMITA CLOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
10722 ARROW RTE, SUITE 314, RANCHO CUCAMONGA, CA 91730-4808
(951) 300-3507
Mailing address
8031 RALSTON PL, RIVERSIDE, CA 92508-6127
(951) 300-3507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPCC320
CA
101YM0800X
Mental Health Counselor
LPCC320
CA
101YP2500X
Professional Counselor
Primary
LPCC320
CA
101YS0200X
School Counselor
LEP3161
CA
Other
Enumeration date
06/20/2014
Last updated
05/22/2015
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