| Wave Professional Clinical Counselors Inc. | |
|
1207 Carlsbad Village Dr Suite Q Carlsbad CA 92008-1957 | |
| (760) 500-3325 | |
| Not Available |
| Full Name | Wave Professional Clinical Counselors Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1207 Carlsbad Village Dr, Carlsbad, California |
| Authorized Official Name and Position | Mark Brewer (OWNER) |
| Authorized Official Contact | 7605003325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wave Professional Clinical Counselors Inc. 1207 Carlsbad Village Dr Suite Q Carlsbad CA 92008-1957 Ph: (760) 500-3325 | Wave Professional Clinical Counselors Inc. 1207 Carlsbad Village Dr Suite Q Carlsbad CA 92008-1957 Ph: (760) 500-3325 |
| NPI Number | 1346627338 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 06/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346627338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 27991 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 46057 (California) | Primary |
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