| Footprints Counseling Services Inc | |
|
34455 Yucaipa Blvd Ste 206 Yucaipa CA 92399-2476 | |
| (909) 283-0997 | |
| (909) 768-1006 |
| Full Name | Footprints Counseling Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 34455 Yucaipa Blvd Ste 206, Yucaipa, California |
| Authorized Official Name and Position | Loleta Michelle Gustafson (OWNER) |
| Authorized Official Contact | 9099049500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Footprints Counseling Services Inc Po Box 882 Yucaipa CA 92399-0882 Ph: (909) 283-0997 | Footprints Counseling Services Inc 34455 Yucaipa Blvd Ste 206 Yucaipa CA 92399-2476 Ph: (909) 283-0997 |
| NPI Number | 1891502878 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891502878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Footprints Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 Phone: 909-283-0997 | |
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