| |
473 S Carnegie Dr Ste 200 San Bernardino CA 92408-4201 | |
(909) 533-4585 | |
(909) 533-4590 |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 473 S Carnegie Dr Ste 200, San Bernardino, California |
Authorized Official Name and Position | Tajuan Nichole Verrett-earl (OFFICE MANAGER) |
Authorized Official Contact | 9095334574 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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473 S Carnegie Dr Ste 200 San Bernardino CA 92408-4201 Ph: (909) 533-4585 | 473 S Carnegie Dr Ste 200 San Bernardino CA 92408-4201 Ph: (909) 533-4585 |
NPI Number | 1225650732 |
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Provider Enumeration Date | 05/07/2020 |
Last Update Date | 11/05/2024 |
Certification Date | 11/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225650732 | NPI | - | NPPES |
100143845 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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