| Ashina Mental Health Licensed Clinical Social Worker Inc | |
|
140 S Grand Ave Ste C Glendora CA 91741-4259 | |
| (562) 332-8819 | |
| Not Available |
| Full Name | Ashina Mental Health Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 140 S Grand Ave Ste C, Glendora, California |
| Authorized Official Name and Position | Louise Polzel (CEO) |
| Authorized Official Contact | 9519461106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashina Mental Health Licensed Clinical Social Worker Inc Po Box 1362 San Jacinto CA 92581-1362 Ph: () - | Ashina Mental Health Licensed Clinical Social Worker Inc 140 S Grand Ave Ste C Glendora CA 91741-4259 Ph: (562) 332-8819 |
| NPI Number | 1730967811 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730967811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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