| Making A Difference Association, Inc. | |
|
1430 E Cooley Drive, Ste 111 Colton CA 92324 | |
| (909) 420-0413 | |
| (909) 510-0410 |
| Full Name | Making A Difference Association, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1430 E Cooley Drive, Ste 111, Colton, California |
| Authorized Official Name and Position | Tammy De Hesa (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9094200413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Making A Difference Association, Inc. 1430 E Cooley Drive, Ste 111 Colton CA 92324 Ph: (909) 420-0413 | Making A Difference Association, Inc. 1430 E Cooley Drive, Ste 111 Colton CA 92324 Ph: (909) 420-0413 |
| NPI Number | 1063042851 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 01/21/2020 |
| Certification Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063042851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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