JACK CUSATOR

RANCHO CUCAMONGA, CA
NPI1619331840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  37701)
Enumeration Date2016-04-13
Last Update Date2022-02-11
Business Address
-- JACK CUSATOR LMFT; PsyD
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739-9662
Phone number: 909-436-5116
Mailing Address
-- JACK CUSATOR LMFT; PsyD
651 SUNGATE DR APT 278
CORONA, CA 92879-6598
Phone number:
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