| Scott Haitsuka, Licensed Clinical Social Worker, Inc. | |
|
370 Wisconsin Ave Unit 101 Long Beach CA 90814-6728 | |
| (415) 282-8967 | |
| Not Available |
| Full Name | Scott Haitsuka, Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 370 Wisconsin Ave Unit 101, Long Beach, California |
| Authorized Official Name and Position | Scott Haitsuka (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4153228665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Haitsuka, Licensed Clinical Social Worker, Inc. 2436 E 4th St # 646 Long Beach CA 90814-1156 Ph: (415) 322-8665 | Scott Haitsuka, Licensed Clinical Social Worker, Inc. 370 Wisconsin Ave Unit 101 Long Beach CA 90814-6728 Ph: (415) 282-8967 |
| NPI Number | 1023897790 |
|---|---|
| Provider Enumeration Date | 09/22/2023 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023897790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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