| Four Streams Christian Counseling | |
|
5464 Grassy Trail Dr Riverside CA 92504-1214 | |
| (951) 369-0439 | |
| Not Available |
| Full Name | Four Streams Christian Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5464 Grassy Trail Dr, Riverside, California |
| Authorized Official Name and Position | Lisa Anne Willmon (DIRECTOR) |
| Authorized Official Contact | 9513201390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Streams Christian Counseling 3590 Central Ave Suite 208 Riverside CA 92506-2708 Ph: (951) 320-1390 | Four Streams Christian Counseling 5464 Grassy Trail Dr Riverside CA 92504-1214 Ph: (951) 369-0439 |
| NPI Number | 1174728828 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174728828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 28565 (California) | Primary |
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