Individual
APRIL LOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17053 FOOTHILL BLVD BLDG B, FONTANA, CA 92335
(909) 347-1300
Mailing address
1950 S SUNWEST LN, SAN BERNARDINO, CA 92408-3258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW72082
CA
1041C0700X
Clinical Social Worker
Primary
90333
CA
Other
Enumeration date
10/07/2014
Last updated
01/22/2020
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