| Stigma Free Therapy Network | |
|
157 N Glendora Ave Ste 223 Glendora CA 91741-3369 | |
| (626) 335-6425 | |
| (855) 746-6469 |
| Full Name | Stigma Free Therapy Network |
|---|---|
| Speciality | Social Worker |
| Location | 157 N Glendora Ave Ste 223, Glendora, California |
| Authorized Official Name and Position | Donna Lynn Hall (PSYCHOTHERAPIST, EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6263356425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stigma Free Therapy Network 157 N Glendora Ave Ste 223 Glendora CA 91741-3369 Ph: (626) 335-6425 | Stigma Free Therapy Network 157 N Glendora Ave Ste 223 Glendora CA 91741-3369 Ph: (626) 335-6425 |
| NPI Number | 1679084461 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 10/19/2017 |
| Medicare PECOS PAC ID | 7012276256 |
|---|---|
| Medicare Enrollment ID | O20180117000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679084461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 29681 (California) | Primary |
| Provider Name | Donna Lynn Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386156073 PECOS PAC ID: 6103185343 Enrollment ID: I20180118001928 |
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