| NPI | 1093125551 |
|---|---|
| Doing Business As | LIFESTYLES COUNSELING & CONSULTATION |
| Entity Type | Organization |
| Authorized Contact | LAQUENTA M LONG President/Owner 909-987-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53992) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |