| Canvas Of Life Family Counseling Services Professional Corporation | |
|
6820 Indiana Ave Ste. 240 Riverside CA 92506-7202 | |
| (951) 777-8176 | |
| (951) 888-9049 |
| Full Name | Canvas Of Life Family Counseling Services Professional Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6820 Indiana Ave, Riverside, California |
| Authorized Official Name and Position | Lisa M Carrillo (DIRECTOR) |
| Authorized Official Contact | 9517778176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canvas Of Life Family Counseling Services Professional Corporation 6820 Indiana Ave Ste. 240 Riverside CA 92506-7202 Ph: (951) 777-8176 | Canvas Of Life Family Counseling Services Professional Corporation 6820 Indiana Ave Ste. 240 Riverside CA 92506-7202 Ph: (951) 777-8176 |
| NPI Number | 1992240279 |
|---|---|
| Provider Enumeration Date | 12/22/2016 |
| Last Update Date | 12/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992240279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 77468 (California) | Primary |
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