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372 E 7th St Beaumont CA 92223-2261 | |
| (951) 845-4073 | |
| (201) 353-8530 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 372 E 7th St, Beaumont, California |
| Authorized Official Name and Position | Danece Renee Stapleton (PRESIDENT; DIRECTOR OF COUNSELING) |
| Authorized Official Contact | 9518454073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
372 E 7th St Beaumont CA 92223-2261 Ph: (951) 845-4073 | 372 E 7th St Beaumont CA 92223-2261 Ph: (951) 845-4073 |
| NPI Number | 1992198543 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 04/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992198543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 64658 (California) | Primary |
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