Individual
CHIYO TAKARABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 N. GAREY AVE., POMONA, CA 91767
(909) 623-6391
Mailing address
9139 DUARTE RD, SAN GABRIEL, CA 91775-2013
(323) 788-3171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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