| Raincross Counseling Services, Llc | |
|
4344 Latham St Ste 110 Riverside CA 92501-1773 | |
| (951) 779-4917 | |
| Not Available |
| Full Name | Raincross Counseling Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4344 Latham St Ste 110, Riverside, California |
| Authorized Official Name and Position | Jennifer Allossery (CREDENTIALING) |
| Authorized Official Contact | 2133754990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raincross Counseling Services, Llc 4344 Latham St Ste 110 Riverside CA 92501-1773 Ph: (951) 779-4917 | Raincross Counseling Services, Llc 4344 Latham St Ste 110 Riverside CA 92501-1773 Ph: (951) 779-4917 |
| NPI Number | 1447719513 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 03/18/2019 |
| Medicare PECOS PAC ID | 4183032238 |
|---|---|
| Medicare Enrollment ID | O20210409001471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447719513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Anindita Ganguly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740317254 PECOS PAC ID: 2163462870 Enrollment ID: I20050512000838 |
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