TARA DIANE PENTECOST

ANAHEIM, CA
NPI1720868474
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  138280)
Enumeration Date2023-10-02
Last Update Date2023-10-02
Business Address
TARA DIANE PENTECOST LMFT
1478 E LINCOLN AVE
ANAHEIM, CA 92805-2213
Phone number: 714-776-2500
Mailing Address
TARA DIANE PENTECOST LMFT
6401 E NOHL RANCH RD APT 96
ANAHEIM, CA 92807-4893
Phone number: 714-606-5073