| Innerpeace Therapy | |
|
14393 Park Ave Ste 200 Victorville CA 92392-3302 | |
| (442) 229-6296 | |
| Not Available |
| Full Name | Innerpeace Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 14393 Park Ave Ste 200, Victorville, California |
| Authorized Official Name and Position | Samantha Rodriguez (OWNER) |
| Authorized Official Contact | 7604860616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerpeace Therapy 14393 Park Ave Ste 200 Victorville CA 92392-3302 Ph: (442) 229-6296 | Innerpeace Therapy 14393 Park Ave Ste 200 Victorville CA 92392-3302 Ph: (442) 229-6296 |
| NPI Number | 1063078251 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 12/01/2024 |
| Certification Date | 12/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063078251 | NPI | - | NPPES |
| 1932370418 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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