| Skt Therapy | |
|
765 N Main St Ste 130-a10 Corona CA 92878-1440 | |
| (650) 252-0300 | |
| Not Available |
| Full Name | Skt Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 765 N Main St Ste 130-a10, Corona, California |
| Authorized Official Name and Position | Shannon Klosak (OWNER) |
| Authorized Official Contact | 6502520300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skt Therapy 765 N Main St Ste 130-a10 Corona CA 92878-1440 Ph: (650) 252-0300 | Skt Therapy 765 N Main St Ste 130-a10 Corona CA 92878-1440 Ph: (650) 252-0300 |
| NPI Number | 1629559802 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629559802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 93637 (California) | Primary |
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