|
| |
|
17057 Foothill Blvd Ste 205 Fontana CA 92335-3574 | |
| (909) 693-3177 | |
| (909) 693-3177 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 17057 Foothill Blvd Ste 205, Fontana, California |
| Authorized Official Name and Position | Carol R Adkisson (CEO/FOUNDER) |
| Authorized Official Contact | 9096933177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17057 Foothill Blvd Ste 205 Fontana CA 92335-3574 Ph: (909) 693-3177 | 17057 Foothill Blvd Ste 205 Fontana CA 92335-3574 Ph: (909) 693-3177 |
| NPI Number | 1629600341 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629600341 | NPI | - | NPPES |
Cornerstone Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15292 Duncan Canyon Rd, Fontana, CA 92336 Phone: 909-543-4959 Fax: 909-899-9937 | |
Burgos Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16425 El Revino Dr, Fontana, CA 92336 Phone: 909-451-9904 Fax: 909-310-9763 | |
Karisa Quick Licensed Professional Clinical Counselor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5083 Columbia Dr, Fontana, CA 92336 Phone: 909-808-9607 |