Seeds Of Wellness Counseling Services Inc | |
2130 N Arrowhead Ave Ste 101s San Bernardino CA 92405-4023 | |
(909) 978-4026 | |
(909) 978-4027 |
Full Name | Seeds Of Wellness Counseling Services Inc |
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Speciality | Counselor |
Location | 2130 N Arrowhead Ave Ste 101s, San Bernardino, California |
Authorized Official Name and Position | John Stafford (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 9099784026 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Seeds Of Wellness Counseling Services Inc 2130 N Arrowhead Ave Ste 101s San Bernardino CA 92405-4023 Ph: (909) 978-4026 | Seeds Of Wellness Counseling Services Inc 2130 N Arrowhead Ave Ste 101s San Bernardino CA 92405-4023 Ph: (909) 978-4026 |
NPI Number | 1932893781 |
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Provider Enumeration Date | 06/05/2023 |
Last Update Date | 04/04/2024 |
Certification Date | 04/04/2024 |
Medicare PECOS PAC ID | 5890237697 |
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Medicare Enrollment ID | O20240607002908 |
Identifier | Type | State | Issuer |
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1932893781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Rosealinda Carrillo |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1487096400 PECOS PAC ID: 8123560935 Enrollment ID: I20240916002387 |
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