Organization · Type 2 NPI

Mindful Revamp, Inc.

Marriage & Family Therapist · Rancho Cucamonga, CA

NPI number 1407748866 Active

Practice location

9497 Jack Rabbit Dr Unit 106
Rancho Cucamonga, CA 91730-2778

Mailing address

7252 Archibald Ave # 1005
Rancho Cucamonga, CA 91701-5017

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1407748866

Mindful Revamp, Inc.'s National Provider Identifier is 1407748866, issued on Jul 18, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jul 18, 2025.