| Connections A Counseling Center | |
|
39055 Hastings St Suite 106 Fremont CA 94538-1518 | |
| (510) 789-3368 | |
| Not Available |
| Full Name | Connections A Counseling Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 39055 Hastings St, Fremont, California |
| Authorized Official Name and Position | Joshua Taylor Wiggins (CREDENTIALING AGENT) |
| Authorized Official Contact | 8885436349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connections A Counseling Center 39055 Hastings St Suite 106 Fremont CA 94538-1518 Ph: (510) 789-3368 | Connections A Counseling Center 39055 Hastings St Suite 106 Fremont CA 94538-1518 Ph: (510) 789-3368 |
| NPI Number | 1407250798 |
|---|---|
| Provider Enumeration Date | 10/15/2014 |
| Last Update Date | 06/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407250798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 18481 (California) | Primary |
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