Organization
B.O.L.D.L.Y. THERAPY A MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPOR
Active
Other names
B.O.L.D.L.Y. Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI NYCOLE WALKER LMFT (PRESIDENT)
(323) 639-0558
Entity
Organization
Contact information
Practice address
3200 E GUASTI RD STE 100, ONTARIO, CA 91761-8661
(323) 639-0558
Mailing address
3200 E GUASTI RD STE 100, ONTARIO, CA 91761-8661
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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