Theraville Counseling Services, a Lcsw Corporation
NPI #1366084360 in San Bernardino, California
Provider Information
- NPI Number
- 1366084360
- Entity Type
- Organization
- Organization Name
- Theraville Counseling Services, a Lcsw Corporation
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 10, 2019
- Last Updated
- Nov 4, 2021
Practice Location
- Address
- 202 E AIRPORT DR STE 265
- City
- San Bernardino
- State
- California
- ZIP Code
- 92408-3444
- Phone
- (909) 939-5007
Authorized Official
- Name
- CRYSTAL BURNS
- Title
- OWNER/CLINICIAN
- Phone
- (909) 767-3450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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