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16519 Victor St Ste 421 Victorville CA 92395-3935 | |
| (442) 242-4325 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16519 Victor St Ste 421, Victorville, California |
| Authorized Official Name and Position | Crystal Amber Lynn Amick (OWNER/CEO) |
| Authorized Official Contact | 4422424325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13083 Hilcorte Ln Victorville CA 92394-3704 Ph: () - | 16519 Victor St Ste 421 Victorville CA 92395-3935 Ph: (442) 242-4325 |
| NPI Number | 1184240459 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184240459 | NPI | - | NPPES |
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