| Stillwater Counseling Centers | |
|
3200 E Guasti Rd Ste 100 Ontario CA 91761-8661 | |
| (714) 225-0416 | |
| (909) 697-2785 |
| Full Name | Stillwater Counseling Centers |
|---|---|
| Speciality | Psychologist |
| Location | 3200 E Guasti Rd Ste 100, Ontario, California |
| Authorized Official Name and Position | Jodi Raye Cabrera (PRESIDENT) |
| Authorized Official Contact | 9097574345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Counseling Centers 3200 E Guasti Rd Ste 100 Ontario CA 91761-8661 Ph: (909) 757-4345 | Stillwater Counseling Centers 3200 E Guasti Rd Ste 100 Ontario CA 91761-8661 Ph: (714) 225-0416 |
| NPI Number | 1659906790 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 06/02/2020 |
| Certification Date | 06/02/2020 |
| Medicare PECOS PAC ID | 9638591696 |
|---|---|
| Medicare Enrollment ID | O20200619000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659906790 | NPI | - | NPPES |
| Provider Name | William Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063668275 PECOS PAC ID: 9638204761 Enrollment ID: I20100315000885 |
| Provider Name | Jodi Cp Cabrera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134370893 PECOS PAC ID: 0547531550 Enrollment ID: I20170810000197 |
| Provider Name | Adrian Michelle Camargo Rubly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447623657 PECOS PAC ID: 9931511920 Enrollment ID: I20201216000673 |
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