| Wisdom Tree Counseling | |
|
10601 Civic Center Dr Suite 100-m Rancho Cucamonga CA 91730-3878 | |
| (909) 291-9349 | |
| Not Available |
| Full Name | Wisdom Tree Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10601 Civic Center Dr, Rancho Cucamonga, California |
| Authorized Official Name and Position | Jeraleen M Peterson (OWNER) |
| Authorized Official Contact | 9092919349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Tree Counseling 10601 Civic Center Dr Rancho Cucamonga CA 91730-3878 Ph: (909) 291-9349 | Wisdom Tree Counseling 10601 Civic Center Dr Suite 100-m Rancho Cucamonga CA 91730-3878 Ph: (909) 291-9349 |
| NPI Number | 1346790524 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346790524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS28561 (California) | Primary |
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