| Domenique Labeau, Licensed Marriage And Family Therapist, Inc. | |
|
1457 Edelweiss Dr Unit E Beaumont CA 92223-3377 | |
| (909) 747-9038 | |
| Not Available |
| Full Name | Domenique Labeau, Licensed Marriage And Family Therapist, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1457 Edelweiss Dr Unit E, Beaumont, California |
| Authorized Official Name and Position | Domenique Labeau (OWNER) |
| Authorized Official Contact | 9097479038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Domenique Labeau, Licensed Marriage And Family Therapist, Inc. 33562 Yucaipa Blvd. Ste. 4, Pmb 503 Yucaipa CA 92399 Ph: () - | Domenique Labeau, Licensed Marriage And Family Therapist, Inc. 1457 Edelweiss Dr Unit E Beaumont CA 92223-3377 Ph: (909) 747-9038 |
| NPI Number | 1063228013 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063228013 | NPI | - | NPPES |
| 1114446044 | Other | CA | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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