Individual
AMANDA LARRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10900 MIRADOR DR, RANCHO CUCAMONGA, CA 91737-6993
(909) 484-5080
Mailing address
10900 MIRADOR DR, RANCHO CUCAMONGA, CA 91737-6993
(909) 484-5080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
106243
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT140704
CA
Other
Enumeration date
05/11/2021
Last updated
01/12/2024
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