Life Skills Awareness | |
15353 Bonanza Rd Ste 2 Victorville CA 92392-2465 | |
(760) 552-4440 | |
(760) 657-2408 |
Full Name | Life Skills Awareness |
---|---|
Speciality | Community/behavioral Health |
Location | 15353 Bonanza Rd Ste 2, Victorville, California |
Authorized Official Name and Position | Terri R Thomas (PRESIDENT/LPCC) |
Authorized Official Contact | 7609491200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Skills Awareness 15353 Bonanza Rd Ste 2 Victorville CA 92392-2465 Ph: (760) 552-4440 | Life Skills Awareness 15353 Bonanza Rd Ste 2 Victorville CA 92392-2465 Ph: (760) 552-4440 |
NPI Number | 1407365430 |
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Provider Enumeration Date | 09/21/2017 |
Last Update Date | 09/21/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407365430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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