Provider Demographics
NPI:1184439374
Name:HEAD, FRANK J JR (LMFT)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:HEAD
Suffix:JR
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16379 E PRESERVE LOOP UNIT 1906
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91708-8894
Mailing Address - Country:US
Mailing Address - Phone:310-570-5053
Mailing Address - Fax:
Practice Address - Street 1:16379 E PRESERVE LOOP UNIT 1906
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91708-8894
Practice Address - Country:US
Practice Address - Phone:310-570-5053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA125423106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist