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255 N. D Street, Suite 400 San Bernardino CA 92401 | |
(909) 567-2808 | |
(909) 567-2808 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 255 N. D Street,, San Bernardino, California |
Authorized Official Name and Position | Geoffrey Bestman Ibeabuchi (CEO) |
Authorized Official Contact | 9095672808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 264 Pattom CA 92369-0264 Ph: (909) 567-2808 | 255 N. D Street, Suite 400 San Bernardino CA 92401 Ph: (909) 567-2808 |
NPI Number | 1770845497 |
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Provider Enumeration Date | 06/08/2012 |
Last Update Date | 11/27/2019 |
Identifier | Type | State | Issuer |
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1770845497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCS 18357 (California) | Primary |
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