| Athena Counseling Center | |
|
23470 Olive Wood Plaza Dr Ste 140 Moreno Valley CA 92553-5220 | |
| (951) 242-6039 | |
| (951) 247-4593 |
| Full Name | Athena Counseling Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 23470 Olive Wood Plaza Dr Ste 140, Moreno Valley, California |
| Authorized Official Name and Position | Isuzu Fujita Hopper (OWNER) |
| Authorized Official Contact | 9512426039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athena Counseling Center Po Box 7629 Moreno Valley CA 92552-7629 Ph: (951) 242-6039 | Athena Counseling Center 23470 Olive Wood Plaza Dr Ste 140 Moreno Valley CA 92553-5220 Ph: (951) 242-6039 |
| NPI Number | 1669527206 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669527206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC18371 (California) | Primary |
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