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28840 Camaro Dr Winchester CA 92596-8068 | |
| (424) 224-1998 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 28840 Camaro Dr, Winchester, California |
| Authorized Official Name and Position | Cynthia Haynes (CEO) |
| Authorized Official Contact | 4242241998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
28840 Camaro Dr Winchester CA 92596-8068 Ph: (424) 224-1998 | 28840 Camaro Dr Winchester CA 92596-8068 Ph: (424) 224-1998 |
| NPI Number | 1376386888 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376386888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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