| Mariposa Community Counseling | |
|
2940 Inland Empire Blvd Ontario CA 91764-4898 | |
| (909) 458-1350 | |
| Not Available |
| Full Name | Mariposa Community Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2940 Inland Empire Blvd, Ontario, California |
| Authorized Official Name and Position | Erica Ochoa (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9093880882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariposa Community Counseling 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 | Mariposa Community Counseling 2940 Inland Empire Blvd Ontario CA 91764-4898 Ph: (909) 458-1350 |
| NPI Number | 1962612549 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 09/07/2022 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962612549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | ZZZ74743Z (California) | Primary |
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