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535 W State St Suite # C Redlands CA 92373-4662 | |
(562) 522-8008 | |
(909) 335-5991 |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 535 W State St, Redlands, California |
Authorized Official Name and Position | Betty B.a. Odak (CLINICAL DIRECTOR) |
Authorized Official Contact | 5625228008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 10908 San Bernardino CA 92423-0908 Ph: (562) 522-8008 | 535 W State St Suite # C Redlands CA 92373-4662 Ph: (562) 522-8008 |
NPI Number | 1063751303 |
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Provider Enumeration Date | 02/06/2013 |
Last Update Date | 05/03/2013 |
Identifier | Type | State | Issuer |
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1063751303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (California) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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