| Raw Counseling Inc. | |
|
15409 Anacapa Rd Ste 409-f Victorville CA 92392-2463 | |
| (909) 695-7410 | |
| Not Available |
| Full Name | Raw Counseling Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15409 Anacapa Rd Ste 409-f, Victorville, California |
| Authorized Official Name and Position | Wesley Wayne Williams (C.E.O.) |
| Authorized Official Contact | 9096957410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raw Counseling Inc. Po Box 2622 Victorville CA 92393-2622 Ph: (909) 695-7410 | Raw Counseling Inc. 15409 Anacapa Rd Ste 409-f Victorville CA 92392-2463 Ph: (909) 695-7410 |
| NPI Number | 1518780519 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518780519 | NPI | - | NPPES |
| 1790489763 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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