Amita Cloke, LPCC
Counselor, Professional in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1659786309
StatusActive
Last updated in NPPESMay 22, 2015
Details
- NPI
- 1659786309
- Entity type
- Individual (NPI-1)
- Name
- Amita Cloke
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2014
- Last updated
- May 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPCC320 | CA | Yes |
| 101Y00000X | Counselor | LPCC320 | CA | |
| 101YM0800X | Counselor, Mental Health | LPCC320 | CA | |
| 101YS0200X | Counselor, School | LEP3161 | CA |
Practice location
10722 Arrow RteSuite 314
Rancho Cucamonga, CA 91730-4808
Phone 951-300-3507
Mailing address
8031 Ralston PlRiverside, CA 92508-6127
Phone 951-300-3507
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