GEORGE LAWRENCE THEISEN

SAN BERNARDINO, CA
NPI1285882092
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC 41555)
Enumeration Date2008-09-04
Last Update Date2009-05-13
Business Address
Mr. GEORGE LAWRENCE THEISEN MFT
1911 COMMERCENTER E SUITE 101
SAN BERNARDINO, CA 92408-3454
Phone number: 909-381-3579
Mailing Address
Mr. GEORGE LAWRENCE THEISEN MFT
PO BOX 3544
CRESTLINE, CA 92325-3544
Phone number: 909-645-9601