| Lm Wood Marriage And Family Therapy Inc | |
|
24254 Breckenridge Ct Diamond Bar CA 91765-4366 | |
| (909) 860-8141 | |
| Not Available |
| Full Name | Lm Wood Marriage And Family Therapy Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 24254 Breckenridge Ct, Diamond Bar, California |
| Authorized Official Name and Position | Lorene Wood (PRESIDENT) |
| Authorized Official Contact | 9098608141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lm Wood Marriage And Family Therapy Inc 24254 Breckenridge Ct Diamond Bar CA 91765-4366 Ph: (909) 860-8141 | Lm Wood Marriage And Family Therapy Inc 24254 Breckenridge Ct Diamond Bar CA 91765-4366 Ph: (909) 860-8141 |
| NPI Number | 1205977568 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 8022469758 |
|---|---|
| Medicare Enrollment ID | O20240108000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205977568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC-43677 (California) | Primary |
| Provider Name | Lorene Michelle Wood |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679221469 PECOS PAC ID: 9931550662 Enrollment ID: I20240108003149 |
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