| Desiree Depace A Licensed Marriage & Family Therapist Prof Corp | |
|
22700 Beaverhead Dr Diamond Bar CA 91765-1510 | |
| (909) 274-8317 | |
| Not Available |
| Full Name | Desiree Depace A Licensed Marriage & Family Therapist Prof Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 22700 Beaverhead Dr, Diamond Bar, California |
| Authorized Official Name and Position | Desiree De Pace (PRESIDENT) |
| Authorized Official Contact | 9092748317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Depace A Licensed Marriage & Family Therapist Prof Corp 22700 Beaverhead Dr Diamond Bar CA 91765-1510 Ph: (909) 274-8317 | Desiree Depace A Licensed Marriage & Family Therapist Prof Corp 22700 Beaverhead Dr Diamond Bar CA 91765-1510 Ph: (909) 274-8317 |
| NPI Number | 1568260263 |
|---|---|
| Provider Enumeration Date | 03/06/2025 |
| Last Update Date | 03/06/2025 |
| Certification Date | 03/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568260263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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