| Patrice Scott Lmft | |
|
9431 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5879 | |
| (909) 257-7169 | |
| Not Available |
| Full Name | Patrice Scott Lmft |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9431 Haven Ave Ste 100, Rancho Cucamonga, California |
| Authorized Official Name and Position | Patrice Scott (OWNER/LMFT) |
| Authorized Official Contact | 8402098867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrice Scott Lmft 11660 Church St Apt 34 Rancho Cucamonga CA 91730-8919 Ph: () - | Patrice Scott Lmft 9431 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5879 Ph: (909) 257-7169 |
| NPI Number | 1891426508 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 10/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891426508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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