| Mosley Counseling Center, Llc | |
|
2130 W. Arrowhead Ave. Suite 103c San Bernardino CA 92405 | |
| (909) 723-8290 | |
| (909) 723-8290 |
| Full Name | Mosley Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2130 W. Arrowhead Ave., San Bernardino, California |
| Authorized Official Name and Position | Lamar T Mosley (CEO) |
| Authorized Official Contact | 9092523183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosley Counseling Center, Llc 2130 N. Arrowhead Ave Suite 103c San Bernardino CA 92405 Ph: (909) 723-8290 | Mosley Counseling Center, Llc 2130 W. Arrowhead Ave. Suite 103c San Bernardino CA 92405 Ph: (909) 723-8290 |
| NPI Number | 1952664021 |
|---|---|
| Provider Enumeration Date | 06/22/2012 |
| Last Update Date | 06/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952664021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CAVIC2-790-081513B (California) | Primary |
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