Individual provider · Type 1 NPI
Estela De la Mora Thompson
Mental Health Counselor · Rancho Cucamonga, CA
NPI number
1639853039
Active
Practice location
9045 Haven Ave
Rancho Cucamonga, CA 91730-5427
Mailing address
1758 Yvonne Ct
Riverside, CA 92501-4308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 108658 (CA) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1639853039
Estela De la Mora Thompson's National Provider Identifier is 1639853039, issued on Jun 14, 2023. 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 Jun 14, 2023.