| Andruski Family Counseling | |
|
17130 Sequoia St Ste 103 Hesperia CA 92345-1827 | |
| (760) 403-3845 | |
| (442) 267-5241 |
| Full Name | Andruski Family Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 17130 Sequoia St Ste 103, Hesperia, California |
| Authorized Official Name and Position | Kasey Andruski (PRESIDENT) |
| Authorized Official Contact | 7604033845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andruski Family Counseling Po Box 291881 Phelan CA 92329-1881 Ph: (760) 403-3845 | Andruski Family Counseling 17130 Sequoia St Ste 103 Hesperia CA 92345-1827 Ph: (760) 403-3845 |
| NPI Number | 1154897114 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Medicare PECOS PAC ID | 8325481625 |
|---|---|
| Medicare Enrollment ID | O20240202002842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154897114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Kasey Andruski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518328053 PECOS PAC ID: 0143663443 Enrollment ID: I20240202003543 |
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