| Avant-garde Community Counseling Center | |
|
1655 E 6th St Ste A5a Corona CA 92879-1719 | |
| (951) 735-5300 | |
| (951) 735-9335 |
| Full Name | Avant-garde Community Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1655 E 6th St Ste A5a, Corona, California |
| Authorized Official Name and Position | Gregory Estravit (CEO) |
| Authorized Official Contact | 9517355300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avant-garde Community Counseling Center 1655 E 6th St Ste 117a5a Corona CA 92879-1732 Ph: (951) 735-5300 | Avant-garde Community Counseling Center 1655 E 6th St Ste A5a Corona CA 92879-1719 Ph: (951) 735-5300 |
| NPI Number | 1730581760 |
|---|---|
| Provider Enumeration Date | 09/22/2014 |
| Last Update Date | 09/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730581760 | NPI | - | NPPES |
| 659788 | Other | CA | CORONA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFC27861 (California) | Primary |
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