Sacred Tree Therapy Inc | |
411 S Magnolia Ave El Cajon CA 92020-5212 | |
(619) 333-6574 | |
Not Available |
Full Name | Sacred Tree Therapy Inc |
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Speciality | Psychologist |
Location | 411 S Magnolia Ave, El Cajon, California |
Authorized Official Name and Position | Amanda Zora (CLINICAL PSYCHOLOGIST/CEO) |
Authorized Official Contact | 6193336574 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sacred Tree Therapy Inc 411 S Magnolia Ave El Cajon CA 92020-5212 Ph: (619) 938-4108 | Sacred Tree Therapy Inc 411 S Magnolia Ave El Cajon CA 92020-5212 Ph: (619) 333-6574 |
NPI Number | 1922710029 |
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Provider Enumeration Date | 12/20/2022 |
Last Update Date | 03/05/2024 |
Certification Date | 03/05/2024 |
Medicare PECOS PAC ID | 9234501867 |
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Medicare Enrollment ID | O20230208001798 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922710029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Amanda N Zora |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1457729485 PECOS PAC ID: 6406240985 Enrollment ID: I20220225002311 |
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