| Liberty Wellness Individual And Family Therapy | |
|
400 S 2nd Ave Ste 105 Barstow CA 92311-2805 | |
| (760) 282-4099 | |
| (855) 211-3331 |
| Full Name | Liberty Wellness Individual And Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 400 S 2nd Ave Ste 105, Barstow, California |
| Authorized Official Name and Position | Liberty Wyman (CEO) |
| Authorized Official Contact | 7602824099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Wellness Individual And Family Therapy Po Box 1181 Yermo CA 92398-1181 Ph: (760) 282-4099 | Liberty Wellness Individual And Family Therapy 400 S 2nd Ave Ste 105 Barstow CA 92311-2805 Ph: (760) 282-4099 |
| NPI Number | 1629889860 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629889860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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