Emmaus Road Christian Counseling | |
1111 W Covina Blvd Ste 120a San Dimas CA 91773-3205 | |
(190) 997-93722 | |
Not Available |
Full Name | Emmaus Road Christian Counseling |
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Speciality | Marriage & Family Therapist |
Location | 1111 W Covina Blvd Ste 120a, San Dimas, California |
Authorized Official Name and Position | Amanda Hansen (PROGRAM DIRECTOR) |
Authorized Official Contact | 9099793722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Emmaus Road Christian Counseling 1111 W Covina Blvd Ste 120a San Dimas CA 91773-3205 Ph: (190) 997-93722 | Emmaus Road Christian Counseling 1111 W Covina Blvd Ste 120a San Dimas CA 91773-3205 Ph: (190) 997-93722 |
NPI Number | 1770008153 |
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Provider Enumeration Date | 08/07/2017 |
Last Update Date | 08/07/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770008153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (California) | Primary |
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