| Glen Alvin Mcclintock Licensed Clinical Social Worker Inc | |
|
215 Ne Cerritos Dr Palm Springs CA 92262-6530 | |
| (415) 954-0222 | |
| Not Available |
| Full Name | Glen Alvin Mcclintock Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 215 Ne Cerritos Dr, Palm Springs, California |
| Authorized Official Name and Position | Glen Alvin Mcclintock (PRESIDENT) |
| Authorized Official Contact | 4159540222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Alvin Mcclintock Licensed Clinical Social Worker Inc 215 Ne Cerritos Dr Palm Springs CA 92262-6530 Ph: (415) 954-0222 | Glen Alvin Mcclintock Licensed Clinical Social Worker Inc 215 Ne Cerritos Dr Palm Springs CA 92262-6530 Ph: (415) 954-0222 |
| NPI Number | 1396574794 |
|---|---|
| Provider Enumeration Date | 08/01/2024 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396574794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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