Individual
MR. CHRISTOPHER IKENNA DIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15740 TURNBERRY ST, MORENO VALLEY, CA 92555-4903
(951) 363-8449
Mailing address
15740 TURNBERRY ST, MORENO VALLEY, CA 92555-4903
(951) 363-8449
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1669992053
CA
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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