Radiate Hope Licensed Professional Clinical Counselor, Pc | |
12600 Braddock Dr Apt 118 Los Angeles CA 90066-6740 | |
(909) 501-4688 | |
Not Available |
Full Name | Radiate Hope Licensed Professional Clinical Counselor, Pc |
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Speciality | Counselor - Professional |
Location | 12600 Braddock Dr Apt 118, Los Angeles, California |
Authorized Official Name and Position | Emmanuel Garcia (PRESIDENT) |
Authorized Official Contact | 9095014688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Radiate Hope Licensed Professional Clinical Counselor, Pc 12600 Braddock Dr Apt 118 Los Angeles CA 90066-6740 Ph: (909) 501-4688 | Radiate Hope Licensed Professional Clinical Counselor, Pc 12600 Braddock Dr Apt 118 Los Angeles CA 90066-6740 Ph: (909) 501-4688 |
NPI Number | 1639994361 |
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Provider Enumeration Date | 11/18/2024 |
Last Update Date | 11/18/2024 |
Certification Date | 11/18/2024 |
Identifier | Type | State | Issuer |
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1639994361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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