| Terra Vista Counseling | |
|
12139 Mount Vernon Ave Ste 104 Grand Terrace CA 92313-5500 | |
| (909) 452-5857 | |
| Not Available |
| Full Name | Terra Vista Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12139 Mount Vernon Ave Ste 104, Grand Terrace, California |
| Authorized Official Name and Position | Takenya Clarke (OWNER) |
| Authorized Official Contact | 9094543074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terra Vista Counseling 12139 Mount Vernon Ave Ste 104 Grand Terrace CA 92313-5500 Ph: (909) 452-5857 | Terra Vista Counseling 12139 Mount Vernon Ave Ste 104 Grand Terrace CA 92313-5500 Ph: (909) 452-5857 |
| NPI Number | 1891383188 |
|---|---|
| Provider Enumeration Date | 01/04/2021 |
| Last Update Date | 05/16/2024 |
| Certification Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891383188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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