| Primavera Counseling Licensed Clinical Social Worker Corporation | |
|
11110 Los Alamitos Blvd Los Alamitos CA 90720-3602 | |
| (562) 380-1376 | |
| Not Available |
| Full Name | Primavera Counseling Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11110 Los Alamitos Blvd, Los Alamitos, California |
| Authorized Official Name and Position | Maria Virgen Elias (DIRECTOR) |
| Authorized Official Contact | 5623801376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primavera Counseling Licensed Clinical Social Worker Corporation 6475 E Pacific Coast Hwy # 418 Long Beach CA 90803-4201 Ph: () - | Primavera Counseling Licensed Clinical Social Worker Corporation 11110 Los Alamitos Blvd Los Alamitos CA 90720-3602 Ph: (562) 380-1376 |
| NPI Number | 1407424609 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407424609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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