| Caudillo-cole Therapeutiks | |
|
167 N 3rd Ave Suite N Upland CA 91786-6052 | |
| (213) 700-0007 | |
| Not Available |
| Full Name | Caudillo-cole Therapeutiks |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 167 N 3rd Ave, Upland, California |
| Authorized Official Name and Position | Richard Creighton Cole (DIRECTOR/FOUNDER/PRESIDENT) |
| Authorized Official Contact | 2137000007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caudillo-cole Therapeutiks 167 N 3rd Ave Suite N Upland CA 91786-6052 Ph: (213) 700-0007 | Caudillo-cole Therapeutiks 167 N 3rd Ave Suite N Upland CA 91786-6052 Ph: (213) 700-0007 |
| NPI Number | 1285185058 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285185058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LMFT32933 (California) | Primary |
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