| Wild Sage Family Therapy Center Inc | |
|
190 Sierra Ct Ste A322 Palmdale CA 93550-7607 | |
| (661) 220-9226 | |
| (661) 208-3998 |
| Full Name | Wild Sage Family Therapy Center Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 190 Sierra Ct Ste A322, Palmdale, California |
| Authorized Official Name and Position | Robelle Church (OWNER) |
| Authorized Official Contact | 6612209226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Sage Family Therapy Center Inc 190 Sierra Ct Ste A322 Palmdale CA 93550-7607 Ph: (661) 220-9226 | Wild Sage Family Therapy Center Inc 190 Sierra Ct Ste A322 Palmdale CA 93550-7607 Ph: (661) 220-9226 |
| NPI Number | 1003534058 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 08/16/2022 |
| Certification Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003534058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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