California Stress Control Mgmt Ctr | |
5206 Benito St Ste 106 Montclair CA 91763-2852 | |
(951) 660-3050 | |
(888) 235-1709 |
Full Name | California Stress Control Mgmt Ctr |
---|---|
Speciality | Psychologist - Clinical |
Location | 5206 Benito St, Montclair, California |
Authorized Official Name and Position | Ekerette Joseph Essien (OWNER) |
Authorized Official Contact | 9516603050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
California Stress Control Mgmt Ctr 16795 Catalonia Dr Riverside CA 92504-8705 Ph: (951) 660-3050 | California Stress Control Mgmt Ctr 5206 Benito St Ste 106 Montclair CA 91763-2852 Ph: (951) 660-3050 |
NPI Number | 1275966988 |
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Provider Enumeration Date | 08/16/2013 |
Last Update Date | 08/16/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275966988 | NPI | - | NPPES |
PSY177400 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY17740 (California) | Primary |
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