| Footprints Counseling Services | |
|
34455 Yucaipa Blvd Ste 206 Yucaipa CA 92399-2476 | |
| (909) 283-0997 | |
| Not Available |
| Full Name | Footprints Counseling Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 34455 Yucaipa Blvd Ste 206, Yucaipa, California |
| Authorized Official Name and Position | Loleta Michelle Gustafson (OWNER, THERAPIST) |
| Authorized Official Contact | 9092830997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Footprints Counseling Services Po Box 882 Yucaipa CA 92399-0882 Ph: (909) 283-0997 | Footprints Counseling Services 34455 Yucaipa Blvd Ste 206 Yucaipa CA 92399-2476 Ph: (909) 283-0997 |
| NPI Number | 1003284514 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003284514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 49983 (California) | Primary |
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