Most Relevant Information
Provider Data
| NPI Number: | 1003006164 |
| Provider Name: | MICHELE ANN BUYCO LMFT, PPSC |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | MFC41491 |
Most Important Dates
| Enumeration Date: | 07/25/2007 |
| Last Updated: | 07/25/2007 |
Provider Practice Location
317 W F ST
ONTARIO
CA
917623205
Practice Location Phone/Fax
| Phone: | 9099867111 |
| Fax: | 9099860941 |
Provider Mailing Location
317 W F ST
ONTARIO
CA
917623205
Provider Mailing Phone/Fax
| Phone: | 9099867111 |
| Fax: | 9099860941 |