| Coffee House Counseling | |
|
28465 Old Town Front St Ste 221 Temecula CA 92590-1822 | |
| (951) 445-2105 | |
| (866) 961-5084 |
| Full Name | Coffee House Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 28465 Old Town Front St Ste 221, Temecula, California |
| Authorized Official Name and Position | Karen G Black (PRESIDENT/CEO) |
| Authorized Official Contact | 9514452105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffee House Counseling 28465 Old Town Front St Ste 221 Temecula CA 92590-1822 Ph: (951) 445-2105 | Coffee House Counseling 28465 Old Town Front St Ste 221 Temecula CA 92590-1822 Ph: (951) 445-2105 |
| NPI Number | 1659724391 |
|---|---|
| Provider Enumeration Date | 07/18/2016 |
| Last Update Date | 08/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659724391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 90128 (California) | Primary |
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