| Victor Community Support Services | |
|
600 N Arrowhead Ave Ste 300 San Bernardino CA 92401-1148 | |
| (310) 621-8278 | |
| Not Available |
| Full Name | Victor Community Support Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 600 N Arrowhead Ave Ste 300, San Bernardino, California |
| Authorized Official Name and Position | Gloria Lorraine Aldridge (CLINICAN) |
| Authorized Official Contact | 5623228881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Community Support Services 600 N Arrowhead Ave Ste 300 San Bernardino CA 92401-1148 Ph: (310) 621-8278 | Victor Community Support Services 600 N Arrowhead Ave Ste 300 San Bernardino CA 92401-1148 Ph: (310) 621-8278 |
| NPI Number | 1235858366 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235858366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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