| Haven Psychological | |
|
14390 Park Ave Victorville CA 92392-2310 | |
| (442) 327-9311 | |
| Not Available |
| Full Name | Haven Psychological |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 14390 Park Ave, Victorville, California |
| Authorized Official Name and Position | Gerald Robert Duprez (OWNER) |
| Authorized Official Contact | 9099871997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Psychological 8253 White Oak Ave Rancho Cucamonga CA 91730-7671 Ph: (909) 987-1997 | Haven Psychological 14390 Park Ave Victorville CA 92392-2310 Ph: (442) 327-9311 |
| NPI Number | 1073151015 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 12/19/2019 |
| Certification Date | 12/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073151015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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