Individual
DEBRA CACIANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14901 CENTRAL AVE, CHINO, CA 91710-9500
(909) 217-5986
Mailing address
1214 ENGLAND ST, HUNTINGTON BEACH, CA 92648-4112
(949) 500-3538
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15043
CA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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