Provider Information for 1891448544
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LOUIS BUCHHOLD LMFT, EdDCP
Sex: Male
NPI: 1891448544
Last Updated: 2025-01-07
Certification Date: 2025-01-07
Certification Date: 2025-01-07
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1891448544 | ||||||||||||
| Enumeration Date | 2022-02-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1049 HAVENHURST DR # 406 WEST HOLLYWOOD, CA 90046-6002 United States Phone: 909-695-2042 | Fax: | ||||||||||||
| Primary Practice Address | 12724 MONTE VISTA AVE CHINO, CA 91710-3375 United States Phone: 909-695-2042 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 686 E MILL ST 2940 INLAND EMPIRE BLVD | ||||||||||||
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