| Wellness & Prevention Licensed Clinical Social Worker Inc. | |
|
189 Avenida La Cuesta San Clemente CA 92672-3144 | |
| (949) 649-9460 | |
| Not Available |
| Full Name | Wellness & Prevention Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 189 Avenida La Cuesta, San Clemente, California |
| Authorized Official Name and Position | Susan Parmelee (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9496800516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness & Prevention Licensed Clinical Social Worker Inc. 700 Avenida Pico San Clemente CA 92673-5681 Ph: (949) 680-0516 | Wellness & Prevention Licensed Clinical Social Worker Inc. 189 Avenida La Cuesta San Clemente CA 92672-3144 Ph: (949) 649-9460 |
| NPI Number | 1437918331 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437918331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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