Healthcare Provider Details

I. General information

NPI: 1679071450
Provider Name (Legal Business Name): DAVID A VEST LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2018
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9431 HAVEN AVE STE 100
RANCHO CUCAMONGA CA
91730-5879
US

IV. Provider business mailing address

9431 HAVEN AVE STE 100
RANCHO CUCAMONGA CA
91730-5879
US

V. Phone/Fax

Practice location:
  • Phone: 909-284-1850
  • Fax:
Mailing address:
  • Phone: 909-284-1850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT103919
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number204141
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: