Organization · Type 2 NPI
Mind Body & Soul Family Therapy
Mental Health Counselor · Rancho Cucamonga, CA
NPI number
1407425580
Active
Practice location
10737 Laurel St., #135
Rancho Cucamonga, CA 91730
Fax (909) 481-5753
Other practice locations
- 2389 Main St Ste 100, Glastonbury, CT 06033-4617 · (860) 576-5056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1407425580
Mind Body & Soul Family Therapy's National Provider Identifier is 1407425580, issued on Jun 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Apr 18, 2025.