Full Name | |
---|---|
Speciality | Counselor - Mental Health |
Location | 1612 17th Ave, Delano, California |
Authorized Official Name and Position | Araceli Bejar Lua (CEO) |
Authorized Official Contact | 6615149636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 932 Delano CA 93216-0932 Ph: (661) 514-9636 | 1612 17th Ave Delano CA 93215-1505 Ph: (661) 514-9636 |
NPI Number | 1801563689 |
---|---|
Provider Enumeration Date | 08/27/2021 |
Last Update Date | 09/24/2022 |
Certification Date | 09/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801563689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Henrietta Weill Memorial Child Guidance Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Dover Park Way, Delano, CA 93215 Phone: 661-322-1021 | |