person
Blanca Ruth Nicassio, AMFT
Mental Health Counselor in Fontana, California
NPI 1538623004

Blanca Ruth Nicassio is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Blanca Ruth Nicassio practices in Fontana, CA and has the professional credentials of AMFT. The NPI Number for Blanca Ruth Nicassio is 1538623004 and holds a License No. APCC6302 (California).

The current practice location address for Blanca Ruth Nicassio is 14677 Merrill Ave, Fontana, CA and can be reached out via phone at 951-643-2340.

Location: 14677 Merrill Ave, Fontana, CA, 92503-3565
person
Provider Profile Details
NPI Number
1538623004
Provider Name
Blanca Ruth Nicassio
Credential
AMFT
Provider Entity Type
Individual
Gender
Female
Address
14677 Merrill Ave, Fontana, CA, 92503-3565
Phone Number
951-643-2340
Fax Number
Provider Enumeration Date
01/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14677 Merrill Ave
City
State
Zip
92335
Phone Number
951-643-2340
Fax Number
person
Provider Business Mailing Address Details
Address
14677 Merrill Ave
City
State
Zip
92335
Phone Number
951-643-2340
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
APCC6302 (California)
Definition
Definition to come...
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