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Lilly Damen, MSWINTERN
Mental Health Counselor in Ontario, California
NPI 1952735128

Lilly Damen is a Mental Health Counselor based in Ontario, CA and is specialized in Mental Health. Lilly Damen practices in Ontario, CA and has the professional credentials of MSWINTERN. The NPI Number for Lilly Damen is 1952735128 and holds a License No. (California).

The current practice location address for Lilly Damen is 855 N Euclid Ave, Ontario, CA and can be reached out via phone at 909-983-2020 and via fax at 909-983-6847.

Location: 855 N Euclid Ave, Ontario, CA, 91762-2729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952735128
Provider Name
Lilly Damen
Credential
MSWINTERN
Provider Entity Type
Individual
Gender
Female
Address
855 N Euclid Ave, Ontario, CA, 91762-2729
Phone Number
909-983-2020
Fax Number
909-983-6847
Provider Enumeration Date
08/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95-1946482 05 CA
institution
Provider Business Practice Location Address Details
Address
855 N Euclid Ave
City
Ontario
State
California
Zip
91762-2729
Phone Number
909-983-2020
Fax Number
909-983-6847
person
Provider Business Mailing Address Details
Address
855 N Euclid Ave
City
Ontario
State
California
Zip
91762-2729
Phone Number
909-983-2020
Fax Number
909-983-6847
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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