| Blue Oak Counseling Services, Inc. | |
|
3200 Guasti Rd #100 Ontario CA 91761 | |
| (909) 306-8686 | |
| (909) 510-8260 |
| Full Name | Blue Oak Counseling Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3200 Guasti Rd #100, Ontario, California |
| Authorized Official Name and Position | Tina Tangtheinkul Avila (CEO) |
| Authorized Official Contact | 9093068686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Oak Counseling Services, Inc. 3200 Guasti Rd #100 Ontario CA 91761 Ph: (909) 306-8686 | Blue Oak Counseling Services, Inc. 3200 Guasti Rd #100 Ontario CA 91761 Ph: (909) 306-8686 |
| NPI Number | 1902418163 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902418163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Blue Oak Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 E Guasti Rd Ste 100, Ontario, CA 91761 Phone: 909-306-8686 | |
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