James B Entz, MFT Valid NPI
Individual provider · Marriage & Family Therapist · Bloomington, CA
- NPI
- 1013055441
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- MFC 31323 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-02-01
- Last updated
- 2022-02-11
Practice location
18612 Santa Ana Ave
Bloomington, CA 92316-2636
(909) 421-7120