Provider Demographics
NPI:1992591697
Name:AMPARO MURO, EMILYN (AMFT)
Entity type:Individual
Prefix:
First Name:EMILYN
Middle Name:
Last Name:AMPARO MURO
Suffix:
Gender:
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:552 HAMMOND ST
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-1706
Mailing Address - Country:US
Mailing Address - Phone:909-461-0097
Mailing Address - Fax:
Practice Address - Street 1:9065 HAVEN AVE STE 110
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5429
Practice Address - Country:US
Practice Address - Phone:909-757-5770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health