| Laura Lim Licensed Clinical Social Worker Inc. | |
|
5053 La Mart Dr Ste 105 Riverside CA 92507-5993 | |
| (626) 322-8729 | |
| Not Available |
| Full Name | Laura Lim Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5053 La Mart Dr Ste 105, Riverside, California |
| Authorized Official Name and Position | Laura Lim (PRESIDENT) |
| Authorized Official Contact | 6263228729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Lim Licensed Clinical Social Worker Inc. 13353 Lilyrose St Corona CA 92880-0755 Ph: (626) 322-8729 | Laura Lim Licensed Clinical Social Worker Inc. 5053 La Mart Dr Ste 105 Riverside CA 92507-5993 Ph: (626) 322-8729 |
| NPI Number | 1831900315 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831900315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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