| The Village Community And Family Ervices | |
|
12638 Campana St Victorville CA 92394-9557 | |
| (951) 801-9387 | |
| Not Available |
| Full Name | The Village Community And Family Ervices |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12638 Campana St, Victorville, California |
| Authorized Official Name and Position | Tanisha Simpson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3106863884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Community And Family Ervices 12638 Campana St Victorville CA 92394-9557 Ph: () - | The Village Community And Family Ervices 12638 Campana St Victorville CA 92394-9557 Ph: (951) 801-9387 |
| NPI Number | 1336801349 |
|---|---|
| Provider Enumeration Date | 10/07/2021 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336801349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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