| Annan Counseling Clinic | |
|
4543 Cochran St Apt 237 Simi Valley CA 93063-0306 | |
| (818) 268-0375 | |
| Not Available |
| Full Name | Annan Counseling Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 4543 Cochran St Apt 237, Simi Valley, California |
| Authorized Official Name and Position | Bennett Annan (PRESIDENT/CEO) |
| Authorized Official Contact | 8182680375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annan Counseling Clinic 4543 Cochran St Apt 237 Simi Valley CA 93063-0306 Ph: (818) 268-0375 | Annan Counseling Clinic 4543 Cochran St Apt 237 Simi Valley CA 93063-0306 Ph: (818) 268-0375 |
| NPI Number | 1639831894 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639831894 | NPI | - | NPPES |
| 1003047911 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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