CHARLES AMBROSE BANZON

SAN DIEGO, CA
NPI1457422966
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  49126)
Enumeration Date2006-11-13
Last Update Date2024-08-27
Business Address
Mr. CHARLES AMBROSE BANZON MFT
2130 NATIONAL AVE
SAN DIEGO, CA 92113-2209
Phone number: 619-255-5171
Mailing Address
Mr. CHARLES AMBROSE BANZON MFT
2130 NATIONAL AVE
SAN DIEGO, CA 92113-2209
Phone number: 619-255-5171
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