| Victoria Community Counseling, Lcswc | |
|
4181 Flat Rock Dr Ste 305 307 Riverside CA 92505-2971 | |
| (951) 476-5642 | |
| (833) 672-3306 |
| Full Name | Victoria Community Counseling, Lcswc |
|---|---|
| Speciality | Social Worker |
| Location | 4181 Flat Rock Dr, Riverside, California |
| Authorized Official Name and Position | Paul Baum (CFO) |
| Authorized Official Contact | 9514765642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Community Counseling, Lcswc 4181 Flat Rock Dr Ste 305&307 Riverside CA 92505-7103 Ph: (951) 476-5642 | Victoria Community Counseling, Lcswc 4181 Flat Rock Dr Ste 305 307 Riverside CA 92505-2971 Ph: (951) 476-5642 |
| NPI Number | 1396432951 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Medicare PECOS PAC ID | 4385099720 |
|---|---|
| Medicare Enrollment ID | O20231004004097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396432951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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