|
| |
|
535 W State St Suite # C Redlands CA 92373-4662 | |
| (562) 522-8008 | |
| (909) 335-5991 |
| Full Name | |
|---|---|
| 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 |
|---|---|
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 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 05/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063751303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (California) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
San Bernardino County Superintendent Of Schools Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1812 W Park Ave, Redlands, CA 92373 Phone: 909-748-0259 | |
Inlandpsych Redlands Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 255 Terracina Blvd, Suite 204, Redlands, CA 92373 Phone: 909-798-1763 | |
Creative Change Therapy Center, A Clinical Social Worker Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1255 W Colton Ave # 614, Redlands, CA 92374 Phone: 760-699-4199 | |