Organization · Type 2 NPI

Diane Mitzenmacher, LCSW Inc

Mental Health Clinic/Center (Including Community Mental Health Center) · Rancho Cucamonga, CA

NPI number 1497318943 Active

Practice location

8300 Utica Ave Ste 155
Rancho Cucamonga, CA 91730-7605

Call (909) 285-5205 Map

Fax (909) 989-4648

Mailing address

PO Box 938
Rancho Cucamonga, CA 91729-0938

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1497318943

Diane Mitzenmacher, LCSW Inc's National Provider Identifier is 1497318943, issued on Apr 19, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Apr 19, 2019.