person
Levin Alexander Gamaliel Landaverde Ventura JR.
Professional Counselor in Fontana, California
NPI 1801578778

Levin Alexander Gamaliel Landaverde Ventura JR. is a Professional Counselor based in Fontana, CA and is specialized in Professional. Levin Alexander Gamaliel Landaverde Ventura JR. practices in Fontana, CA. The NPI Number for Levin Alexander Gamaliel Landaverde Ventura JR. is 1801578778 and holds a License No. (California).

The current practice location address for Levin Alexander Gamaliel Landaverde Ventura JR. is 14677 Merrill Ave, Fontana, CA and can be reached out via phone at 951-643-2340.

Location: 14677 Merrill Ave, Fontana, CA, 92335-4219
person
Provider Profile Details
NPI Number
1801578778
Provider Name
Levin Alexander Gamaliel Landaverde Ventura JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
14677 Merrill Ave, Fontana, CA, 92335-4219
Phone Number
951-643-2340
Fax Number
Provider Enumeration Date
08/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14677 Merrill Ave
City
State
Zip
92335-4219
Phone Number
951-643-2340
Fax Number
person
Provider Business Mailing Address Details
Address
14677 Merrill Ave
City
State
Zip
92335-4219
Phone Number
951-643-2340
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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