Saucedo, Aica Cirella Custodio

Saucedo, Aica Cirella Custodio is an individual health care provider with primary practice located at 5330 San Bernardino St , Montclair CA 91763-2952. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Saucedo, Aica Cirella Custodio can be contacted via phone (909) 399-3700.

Contact Information

Primary practice address
5330 San Bernardino St Montclair CA 91763-2952
Phone: (909) 399-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT115619 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1538659875
LBN Legal business name Saucedo, Aica Cirella Custodio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2018
Last updated Nov 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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