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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK MANSOUR

Active

JACK MANSOUR is a Marriage & Family Therapist healthcare provider located in DIAMOND BAR, California. NPI 1225875412 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · DIAMOND BAR, CA

Registration Details

NPI Number
1225875412
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2024 (2.1007839784855 yrs)
Last Updated
Jul 13, 2024

Practice Information

Address
1418 SUMMITRIDGE DR
DIAMOND BAR, CA, 917654331
Browse CA providers · Browse ZIP 91765
Phone
7149001869
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in DIAMOND BAR, CA

Name Credential NPI
ANNA JANE COUCH LMFT 1235246638
MRS. KATHY M RAMOS M.F.T. 1962500108
MS. GRACIELA OLID MS 1609918846
MR. SCOTT ENOCH KAZARIAN LMFT 1376674069
MRS. JEANIE MARIE CHAVEZ LMFT 1194842658
LYNN F. Y. YAMAMOTO M.S., M.F.T. 1104045434
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.