| Mental Wellness University, Licensed Clinical Social Worker Inc. | |
|
9350 The Resort Pkwy Unit 7614 Rancho Cucamonga CA 91730-9255 | |
| (951) 441-4076 | |
| Not Available |
| Full Name | Mental Wellness University, Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9350 The Resort Pkwy Unit 7614, Rancho Cucamonga, California |
| Authorized Official Name and Position | Lauresha Zinatae Hawkins (CEO) |
| Authorized Official Contact | 9514414076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Wellness University, Licensed Clinical Social Worker Inc. 9350 The Resort Pkwy Unit 7614 Rancho Cucamonga CA 91730-9255 Ph: (951) 441-4076 | Mental Wellness University, Licensed Clinical Social Worker Inc. 9350 The Resort Pkwy Unit 7614 Rancho Cucamonga CA 91730-9255 Ph: (951) 441-4076 |
| NPI Number | 1770356677 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770356677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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