| Soul Journey Family Counseling Org | |
|
18484 U.s.hwy 18 Apple Valley CA 92307 | |
| (530) 443-3828 | |
| Not Available |
| Full Name | Soul Journey Family Counseling Org |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18484 U.s.hwy 18, Apple Valley, California |
| Authorized Official Name and Position | Penne M La Rue (CEO) |
| Authorized Official Contact | 5304433828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Journey Family Counseling Org 25885 Santa Rosa Rd Apple Valley CA 92308-0462 Ph: (530) 443-3828 | Soul Journey Family Counseling Org 18484 U.s.hwy 18 Apple Valley CA 92307 Ph: (530) 443-3828 |
| NPI Number | 1013725985 |
|---|---|
| Provider Enumeration Date | 12/24/2024 |
| Last Update Date | 12/24/2024 |
| Certification Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013725985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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