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473 E. Carnegie Drive Suite 200 San Bernardino CA 92408 | |
(909) 255-6500 | |
Not Available |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 473 E. Carnegie Drive, San Bernardino, California |
Authorized Official Name and Position | Korinne Davis-lobban (PRESIDENT) |
Authorized Official Contact | 6193005446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 7705 Moreno Valley CA 92552-7705 Ph: (909) 255-6500 | 473 E. Carnegie Drive Suite 200 San Bernardino CA 92408 Ph: (909) 255-6500 |
NPI Number | 1083196166 |
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Provider Enumeration Date | 09/05/2018 |
Last Update Date | 09/05/2018 |
Identifier | Type | State | Issuer |
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1083196166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | LMFT99320 (California) | Primary |
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