Most Relevant Information
Provider Data
  | NPI Number: | 1003586678 | 
| Provider Name: | LEAH CERVANTES | 
| Entity Type: | Individual | 
| Taxonomy Code: | 101YA0400X | 
| Specialty: | Counselor | 
| License Number: | R1381060320 | 
Most Important Dates
  | Enumeration Date: | 09/15/2021 | 
| Last Updated: | 09/15/2021 | 
Provider Practice Location
  1260 E ARROW HWY BLDG C
      
      UPLAND
      CA
      917864987
  Practice Location Phone/Fax
      | Phone: | 9099321069 | 
| Fax: | 
Provider Mailing Location
  1260 E ARROW HWY BLDG C
      
      UPLAND
      CA
      917864987
  Provider Mailing Phone/Fax
      | Phone: | 9099321069 | 
| Fax: |