| Scion Counseling Inc | |
|
72925 Fred Waring Dr Ste 201 Palm Desert CA 92260-9405 | |
| (760) 895-1616 | |
| (760) 334-8715 |
| Full Name | Scion Counseling Inc |
|---|---|
| Speciality | Counselor |
| Location | 72925 Fred Waring Dr Ste 201, Palm Desert, California |
| Authorized Official Name and Position | Clinton Patrick Newell (OWNER) |
| Authorized Official Contact | 7608951616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scion Counseling Inc 72925 Fred Waring Dr Ste 201 Palm Desert CA 92260-9405 Ph: (760) 895-1616 | Scion Counseling Inc 72925 Fred Waring Dr Ste 201 Palm Desert CA 92260-9405 Ph: (760) 895-1616 |
| NPI Number | 1053927285 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Medicare PECOS PAC ID | 0941641427 |
|---|---|
| Medicare Enrollment ID | O20240515001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053927285 | NPI | - | NPPES |
| LPCC25 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Clinton Patrick Newell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639290620 PECOS PAC ID: 9931540416 Enrollment ID: I20240515001508 |
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