| Enerje Wellness Licenced Clinical Social Worker | |
|
7121 Magnolia Ave Ste O Riverside CA 92504-3805 | |
| (951) 800-0016 | |
| Not Available |
| Full Name | Enerje Wellness Licenced Clinical Social Worker |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7121 Magnolia Ave Ste O, Riverside, California |
| Authorized Official Name and Position | Shawnnell J (LCSW) |
| Authorized Official Contact | 9099524634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enerje Wellness Licenced Clinical Social Worker 7121 Magnolia Ave Ste O Riverside CA 92504-3805 Ph: (951) 800-0016 | Enerje Wellness Licenced Clinical Social Worker 7121 Magnolia Ave Ste O Riverside CA 92504-3805 Ph: (951) 800-0016 |
| NPI Number | 1306445903 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 11/11/2020 |
| Certification Date | 11/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306445903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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