Most Relevant Information
Provider Data
| NPI Number: | 1003250390 |
| Provider Name: | HENRY K. CHANG |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LMFT120980 |
Most Important Dates
| Enumeration Date: | 04/17/2013 |
| Last Updated: | 01/05/2023 |
Provider Practice Location
820 E GILBERT ST
SAN BERNARDINO
CA
924154709
Practice Location Phone/Fax
| Phone: | 9093677200 |
| Fax: |
Provider Mailing Location
820 E GILBERT ST
SAN BERNARDINO
CA
924150928
Provider Mailing Phone/Fax
| Phone: | 9093677200 |
| Fax: |