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16460 Victor St Victorville CA 92395-3918 | |
| (909) 388-9191 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16460 Victor St, Victorville, California |
| Authorized Official Name and Position | Marshall Langfeld (CFO/VICE PRESIDENT) |
| Authorized Official Contact | 5103377950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 Ph: (510) 337-7950 | 16460 Victor St Victorville CA 92395-3918 Ph: (909) 388-9191 |
| NPI Number | 1548453699 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548453699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Phillip Tardanico, Licensed Clinical Social Worker & Associates, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15000 7th St Ste 209, Victorville, CA 92395 Phone: 760-217-9527 Fax: 442-267-5623 | |
Innerpeace Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14393 Park Ave Ste 200, Victorville, CA 92392 Phone: 442-229-6296 | |
Haven Psychological Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14390 Park Ave, Victorville, CA 92392 Phone: 442-327-9311 | |
Inside Out Therapeutic Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15490 Civic Dr Ste 101, Victorville, CA 92392 Phone: 760-552-9194 | |
Kimberly Moret Licensed Clinical Social Worker, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14021 Amargosa Rd Ste 100, Victorville, CA 92392 Phone: 760-513-1550 Fax: 760-513-9743 |