| County Of Riverside Department Of Mental Health | |
|
1688 N Perris Blvd Ste L1 Perris CA 92571-4701 | |
| (951) 943-1130 | |
| (951) 657-7146 |
| Full Name | County Of Riverside Department Of Mental Health |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1688 N Perris Blvd Ste L1, Perris, California |
| Authorized Official Name and Position | Marie Clara Nathalie Darga (CLINICAL THERAPIST II) |
| Authorized Official Contact | 9519431130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Riverside Department Of Mental Health 1688 N Perris Blvd Ste L1 Perris CA 92571-4701 Ph: (951) 943-1130 | County Of Riverside Department Of Mental Health 1688 N Perris Blvd Ste L1 Perris CA 92571-4701 Ph: (951) 943-1130 |
| NPI Number | 1902211790 |
|---|---|
| Provider Enumeration Date | 07/01/2014 |
| Last Update Date | 07/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902211790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT52196 (California) | Primary |
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