Jack Mansour

NPI #1225875412 in Diamond Bar, California

Provider Information

NPI Number: 1225875412
Entity Type: Individual
Name: Jack Mansour
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Jul 13, 2024
Last Updated: Jul 13, 2024

Practice Location

Address: 1418 SUMMITRIDGE DR
City: Diamond Bar
State: California
ZIP Code: 91765-4331
Phone: (714) 900-1869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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