Tisha S Langley MFT

NPI 1942326012 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1942326012
Gender Female
Enumeration Date 03/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
233 BASE LINE RD
BOX 400
LA VERNE CA, 91750-2353, US
Phone (909) 593-2581
Fax
Business Location
233 BASE LINE RD
BOX 400
LA VERNE CA, 91750-2353, US
Phone (909) 593-2581
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC43462
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According to our database, Tisha S Langley MFT NPI is 1942326012, taxonomy code is 106H00000X and license number is MFC43462, license state is located at California. Tisha S Langley MFT physically located at 233 Base Line Rd, La Verne CA, 91750-2353. NPI Number Tisha S Langley MFT has the Individual type.

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1942326012 NPI number is provided on an as is basis without warranty of any kind. 1942326012 is maintained by the National Plan & Provider Enumeration System. The contents of Tisha S Langley MFT are for informational purposes only.