| Renovo Counseling Services, A Licensed Clinical Social Worker Corp. | |
|
23215 Wildwood Ln Perris CA 92570-7103 | |
| (951) 602-3373 | |
| Not Available |
| Full Name | Renovo Counseling Services, A Licensed Clinical Social Worker Corp. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 23215 Wildwood Ln, Perris, California |
| Authorized Official Name and Position | Jacob Anthony Escobedo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9516023373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovo Counseling Services, A Licensed Clinical Social Worker Corp. Po Box 523 Rialto CA 92377-0523 Ph: (951) 602-3373 | Renovo Counseling Services, A Licensed Clinical Social Worker Corp. 23215 Wildwood Ln Perris CA 92570-7103 Ph: (951) 602-3373 |
| NPI Number | 1891538161 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891538161 | NPI | - | NPPES |
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