| True North Star Licensed Clinical Social Worker Pc | |
|
4060 N 1st Avenue San Bernardino CA 92407-3508 | |
| (909) 765-6196 | |
| Not Available |
| Full Name | True North Star Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4060 N 1st Avenue, San Bernardino, California |
| Authorized Official Name and Position | Frances Blanco (PRESIDENT) |
| Authorized Official Contact | 9097656196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| True North Star Licensed Clinical Social Worker Pc 4060 N 1st Avenue San Bernardino CA 92407-3508 Ph: (909) 765-6196 | True North Star Licensed Clinical Social Worker Pc 4060 N 1st Avenue San Bernardino CA 92407-3508 Ph: (909) 765-6196 |
| NPI Number | 1093423642 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 09/10/2023 |
| Certification Date | 09/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093423642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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