| Edmond Child And Family Counseling, Clark D Edmond, Licensed Clinical | |
|
41690 Ivy St Ste B6 Murrieta CA 92562-9436 | |
| (951) 676-5154 | |
| (951) 526-1015 |
| Full Name | Edmond Child And Family Counseling, Clark D Edmond, Licensed Clinical |
|---|---|
| Speciality | Social Worker |
| Location | 41690 Ivy St Ste B6, Murrieta, California |
| Authorized Official Name and Position | Clark David Edmond (CEO) |
| Authorized Official Contact | 9517750032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmond Child And Family Counseling, Clark D Edmond, Licensed Clinical 40960 California Oaks Rd # 220 Murrieta CA 92562-5747 Ph: (951) 676-5154 | Edmond Child And Family Counseling, Clark D Edmond, Licensed Clinical 41690 Ivy St Ste B6 Murrieta CA 92562-9436 Ph: (951) 676-5154 |
| NPI Number | 1851055123 |
|---|---|
| Provider Enumeration Date | 10/23/2021 |
| Last Update Date | 10/23/2021 |
| Certification Date | 10/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851055123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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