Thrive At Home | |
12975 Brookprinter Pl Ste 140 Poway CA 92064-8894 | |
(858) 215-5366 | |
(858) 215-5366 |
Full Name | Thrive At Home |
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Speciality | Marriage & Family Therapist |
Location | 12975 Brookprinter Pl Ste 140, Poway, California |
Authorized Official Name and Position | Samuel Allen Moehlenpah (OWNER) |
Authorized Official Contact | 8582155366 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thrive At Home 12975 Brookprinter Pl Ste 140 Poway CA 92064-8894 Ph: (858) 215-5366 | Thrive At Home 12975 Brookprinter Pl Ste 140 Poway CA 92064-8894 Ph: (858) 215-5366 |
NPI Number | 1073078283 |
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Provider Enumeration Date | 02/01/2019 |
Last Update Date | 02/01/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073078283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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