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NPI Code Detail

MEDICARE: MS. MONIQUE AMBRESTER LMFT

MEDICARE: MS. MONIQUE AMBRESTER LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist48387CA
2106H00000XMarriage & Family Therapist52185CA

General Provider Information

NPI Number : 1417075524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONIQUE AMBRESTER LMFT
Provider Business Mailing Address
First Line : 1206 W 14TH ST
Second Line :
City : UPLAND
State : CA
Zip : 91786-2517
Country : US
Telephone Number : 818-893-5860
Fax Number :
Provider Business Practice Location Address
First Line : 1206 W 14TH ST
Second Line :
City : UPLAND
State : CA
Zip : 91786-2517
Country : US
Telephone Number : 818-893-5860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 05/22/2023

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Directions to “ MS. MONIQUE AMBRESTER LMFT” Practice Location

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