| Attend Therapy, A Licensed Clinical Social Worker, Inc. | |
|
6840 Indiana Ave Ste 275 Riverside CA 92506-4279 | |
| (408) 740-3692 | |
| Not Available |
| Full Name | Attend Therapy, A Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 6840 Indiana Ave Ste 275, Riverside, California |
| Authorized Official Name and Position | Denise Harlan (LCSW) |
| Authorized Official Contact | 4087403692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Attend Therapy, A Licensed Clinical Social Worker, Inc. 6840 Indiana Ave Ste 275 Riverside CA 92506-4279 Ph: (408) 740-3692 | Attend Therapy, A Licensed Clinical Social Worker, Inc. 6840 Indiana Ave Ste 275 Riverside CA 92506-4279 Ph: (408) 740-3692 |
| NPI Number | 1265126189 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 6608211685 |
|---|---|
| Medicare Enrollment ID | O20240229001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265126189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Denise Harlan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316336779 PECOS PAC ID: 4183018229 Enrollment ID: I20220307000289 |
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