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Mrs. Destiny Jean Tedtaotao
Mental Health Counselor in Riverside, California
NPI 1003142522

Destiny Jean Tedtaotao is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Destiny Jean Tedtaotao practices in Riverside, CA. The NPI Number for Destiny Jean Tedtaotao is 1003142522 and holds a License No. (California).

The current practice location address for Destiny Jean Tedtaotao is 7600 Ambergate Pl Apt L202, Riverside, CA and can be reached out via phone at 310-433-6338.

Location: 7600 Ambergate Pl Apt L202, Riverside, CA, 92504-2659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003142522
Provider Name
Destiny Jean Tedtaotao
Credential
Provider Entity Type
Individual
Gender
Female
Address
7600 Ambergate Pl Apt L202, Riverside, CA, 92504-2659
Phone Number
310-433-6338
Fax Number
Provider Enumeration Date
10/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7600 Ambergate Pl Apt L202
City
Riverside
State
California
Zip
92504-2659
Phone Number
310-433-6338
Fax Number
person
Provider Business Mailing Address Details
Address
7600 Ambergate Pl Apt L202
City
Riverside
State
California
Zip
92504-2659
Phone Number
310-433-6338
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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