| Samaritan Counseling Center | |
|
1126 W Foothill Blvd Suite 110 Upland CA 91786-3768 | |
| (909) 985-0513 | |
| (909) 985-7193 |
| Full Name | Samaritan Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1126 W Foothill Blvd, Upland, California |
| Authorized Official Name and Position | Douglas G Mckown (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9099850513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Counseling Center 1126 W Foothill Blvd Suite 110 Upland CA 91786-3768 Ph: (909) 985-0513 | Samaritan Counseling Center 1126 W Foothill Blvd Suite 110 Upland CA 91786-3768 Ph: (909) 985-0513 |
| NPI Number | 1366572968 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366572968 | NPI | - | NPPES |
| 1659478113 | Other | CA | DR. DOUG MCKOWN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY 19880 (California) | Primary |
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