| Yvonne Collins Licensed Clinical Social Worker Pc | |
|
9431 Haven Ave Suite 100 Rancho Cucuamonga CA 91730 | |
| (909) 204-9992 | |
| (909) 204-2820 |
| Full Name | Yvonne Collins Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9431 Haven Ave, Rancho Cucuamonga, California |
| Authorized Official Name and Position | Yvonne R Collins (OWNER) |
| Authorized Official Contact | 9092049992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yvonne Collins Licensed Clinical Social Worker Pc 154 W Foothill Blvd. A-158 Upland CA 91786 Ph: (909) 204-9992 | Yvonne Collins Licensed Clinical Social Worker Pc 9431 Haven Ave Suite 100 Rancho Cucuamonga CA 91730 Ph: (909) 204-9992 |
| NPI Number | 1144955527 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144955527 | NPI | - | NPPES |
| 1063959054 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Inland Pacific Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10737 Laurel Street, Suite 135, Rancho Cucuamonga, CA 91730 Phone: 909-550-1550 Fax: 909-550-1545 |