| Jerri Middleton, Lcsw | |
|
2717 Spicewood Ln Riverside CA 92504-4319 | |
| (951) 223-8295 | |
| Not Available |
| Full Name | Jerri Middleton, Lcsw |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2717 Spicewood Ln, Riverside, California |
| Authorized Official Name and Position | Jerri Middleton (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9512238295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerri Middleton, Lcsw 5198 Arlington Ave Ste 260 Riverside CA 92504-2603 Ph: () - | Jerri Middleton, Lcsw 2717 Spicewood Ln Riverside CA 92504-4319 Ph: (951) 223-8295 |
| NPI Number | 1699481903 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699481903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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