| Buchanan Trauma Recovery Family Therapy | |
|
1410 3rd St Ste 12 Riverside CA 92507-3422 | |
| (951) 344-6428 | |
| Not Available |
| Full Name | Buchanan Trauma Recovery Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1410 3rd St Ste 12, Riverside, California |
| Authorized Official Name and Position | Ilese Buchanan (OWNER/LMFT) |
| Authorized Official Contact | 9513446428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buchanan Trauma Recovery Family Therapy Po Box 52015 Riverside CA 92517-3015 Ph: () - | Buchanan Trauma Recovery Family Therapy 1410 3rd St Ste 12 Riverside CA 92507-3422 Ph: (951) 344-6428 |
| NPI Number | 1467122192 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467122192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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