Therapy Mission Licensed Clinical Social Worker PC
NPI #1346992500 in San Dimas, California
Provider Information
- NPI Number
- 1346992500
- Entity Type
- Organization
- Organization Name
- Therapy Mission Licensed Clinical Social Worker PC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 19, 2022
- Last Updated
- Aug 9, 2023
Practice Location
- Address
- 554 E FOOTHILL BLVD STE 106
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-1222
- Phone
- (626) 714-0011
Authorized Official
- Name
- REINA AVILA, LCSW
- Title
- CEO
- Phone
- (626) 714-0011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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