EBONY STATEN

Marriage & Family Therapist

Active Individual
NPI: 1306661533

Practice Address

19321 GROVE COMMUNITY DR
Riverside, CA 92508

Phone: (951) 571-9096

Specialties

Specialty Code Primary License
Marriage & Family Therapist 106H00000X Yes 143416 (CA)
Counselor - Professional 101YP2500X No 15405 (CA)

Frequently Asked Questions

NPI 1306661533 is the National Provider Identifier for EBONY STATEN, a Marriage & Family Therapist provider located in Riverside, CA. This NPI was enumerated on November 21, 2024.
EBONY STATEN practices at 19321 GROVE COMMUNITY DR, Riverside, CA 92508.

Quick Facts

NPI
1306661533
Type
Individual
Enumerated
Nov 21, 2024
Last Updated
Nov 21, 2024

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