Healthcare Provider Details

I. General information

NPI: 1073420469
Provider Name (Legal Business Name): OPEN BOOK THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4723 FOX GLEN AVE
LA VERNE CA
91750-1839
US

IV. Provider business mailing address

301 E ARROW HWY STE 101
SAN DIMAS CA
91773-3364
US

V. Phone/Fax

Practice location:
  • Phone: 909-526-0349
  • Fax:
Mailing address:
  • Phone: 909-526-0349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMIE L GRIFFITH
Title or Position: OWNER
Credential:
Phone: 915-880-4066