Your Space Counseling | |
78150 Calle Tampico Ste 200c La Quinta CA 92253-7406 | |
(760) 364-8229 | |
Not Available |
Full Name | Your Space Counseling |
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Speciality | Social Worker - Clinical |
Location | 78150 Calle Tampico Ste 200c, La Quinta, California |
Authorized Official Name and Position | Angelica Paola Beltran (MANAGER) |
Authorized Official Contact | 7603648229 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Your Space Counseling 78150 Calle Tampico Ste 200c La Quinta CA 92253-7406 Ph: (760) 364-8229 | Your Space Counseling 78150 Calle Tampico Ste 200c La Quinta CA 92253-7406 Ph: (760) 364-8229 |
NPI Number | 1912405630 |
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Provider Enumeration Date | 01/28/2018 |
Last Update Date | 01/28/2018 |
Identifier | Type | State | Issuer |
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1912405630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | LCSW74489 (California) | Primary |
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