| My Therapy Tribe Licensed Clinical Social Worker Inc. | |
|
605 W. H. St. Ste. 103 Brawley CA 92227 | |
| (909) 289-4390 | |
| (208) 285-4605 |
| Full Name | My Therapy Tribe Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 605 W. H. St., Brawley, California |
| Authorized Official Name and Position | Allyson Aquirre (CEO/OWNER) |
| Authorized Official Contact | 9092894390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Therapy Tribe Licensed Clinical Social Worker Inc. 605 W. H. St. Ste. 103 Brawley CA 92227 Ph: (909) 289-4390 | My Therapy Tribe Licensed Clinical Social Worker Inc. 605 W. H. St. Ste. 103 Brawley CA 92227 Ph: (909) 289-4390 |
| NPI Number | 1841981370 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841981370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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