| Beverly Hanes, Lmft Apc | |
|
1420 E Cooley Dr Suite 200 S Colton CA 92324-3981 | |
| (951) 334-3177 | |
| (909) 424-0222 |
| Full Name | Beverly Hanes, Lmft Apc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1420 E Cooley Dr, Colton, California |
| Authorized Official Name and Position | Beverly Hanes (MARRIAGE & FAMILY THERAPIST-CEO) |
| Authorized Official Contact | 9513343177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Hanes, Lmft Apc Po Box 52974 Riverside CA 92517-3974 Ph: (951) 334-3177 | Beverly Hanes, Lmft Apc 1420 E Cooley Dr Suite 200 S Colton CA 92324-3981 Ph: (951) 334-3177 |
| NPI Number | 1073631545 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073631545 | NPI | - | NPPES |
| 33BGJ3 | Other | CA | RIVERSIDE CO MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | CORP 2879938 (California) | Primary |
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