Paladin Psychotherapy & Family Counseling, Inc | |
20201 Fairweather St Canyon Country CA 91351-1050 | |
(661) 655-2779 | |
Not Available |
Full Name | Paladin Psychotherapy & Family Counseling, Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 20201 Fairweather St, Canyon Country, California |
Authorized Official Name and Position | Carissa A Lataillade (OWNER/CEO) |
Authorized Official Contact | 6616552779 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Paladin Psychotherapy & Family Counseling, Inc 19197 Golden Valley Rd # 842 Canyon Country CA 91387-1428 Ph: (661) 655-2779 | Paladin Psychotherapy & Family Counseling, Inc 20201 Fairweather St Canyon Country CA 91351-1050 Ph: (661) 655-2779 |
NPI Number | 1376306159 |
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Provider Enumeration Date | 02/05/2024 |
Last Update Date | 02/05/2024 |
Certification Date | 02/02/2024 |
Identifier | Type | State | Issuer |
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1376306159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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