Henry Burciaga, MFT
Marriage & Family Therapist in Beaumont, CA. Individual provider (NPI-1).
NPI number1487785705
StatusActive
Last updated in NPPESApr 2, 2018
Details
- NPI
- 1487785705
- Entity type
- Individual (NPI-1)
- Name
- Mr. Henry Burciaga
- Credential
- MFT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2007
- Last updated
- Apr 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT19940 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | MFC19940 | CA | |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
14700 Manzanita RdBeaumont, CA 92223-3026
Phone 951-845-3155 · Fax 951-845-8412
Mailing address
27555 E Trail Ridge Way Apt 1094Moreno Valley, CA 92555-4491
Phone 310-908-8379
Other practice locations
27555 E Trail Ridge Way Apt 1094
Moreno Valley, CA 92555-4491
Moreno Valley, CA 92555-4491
Phone 310-908-8379
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All 26 Marriage & Family Therapist providers in Beaumont · All 555 providers in Beaumont
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