| Movement Talk Therapy, Licensed Clinical Social Worker, Inc. | |
|
750 E 5th St Unit 6 Azusa CA 91702-3876 | |
| (415) 812-3240 | |
| Not Available |
| Full Name | Movement Talk Therapy, Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 750 E 5th St Unit 6, Azusa, California |
| Authorized Official Name and Position | Denise Hope Padilla (PRESIDENT/ MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4158123240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Movement Talk Therapy, Licensed Clinical Social Worker, Inc. 750 E 5th St Unit 6 Azusa CA 91702-3876 Ph: (415) 812-3240 | Movement Talk Therapy, Licensed Clinical Social Worker, Inc. 750 E 5th St Unit 6 Azusa CA 91702-3876 Ph: (415) 812-3240 |
| NPI Number | 1871163386 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871163386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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