Blue Oak Counseling Services, Inc.
NPI #1073124285 in Ontario, California
Provider Information
- NPI Number
- 1073124285
- Entity Type
- Organization
- Organization Name
- Blue Oak Counseling Services, Inc.
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Aug 11, 2020
- Last Updated
- Dec 13, 2024
Practice Location
- Address
- 3200 E GUASTI RD STE 100
- City
- Ontario
- State
- California
- ZIP Code
- 91761-8661
- Phone
- (909) 306-8686
Authorized Official
- Name
- MRS. TINA TANGTHEINKUL AVILA, MA, LMFT
- Title
- CEO
- Phone
- (909) 366-4712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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