Individual
JOHN CABONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
595 E COLORADO BLVD STE 433, PASADENA, CA 91101-2057
(626) 206-3139
Mailing address
595 E COLORADO BLVD STE 433, PASADENA, CA 91101-2057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC8423
CA
101YP2500X
Professional Counselor
Primary
17771
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/09/2019
Last updated
11/30/2024
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