| NPI | 1376009969 |
|---|---|
| Other Name | ANTONIA TELLEZ, LMFT |
| Entity Type | Organization |
| Authorized Contact | ANTONIA TELLEZ Owner/Operator 909-910-9279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-07-08 |