Victor Community Support Services
Counselor, Mental Health in San Bernardino, CA. Organization (NPI-2).
NPI number1235858366
StatusActive
Last updated in NPPESAug 23, 2022
Details
- NPI
- 1235858366
- Entity type
- Organization (NPI-2)
- Legal business name
- Victor Community Support Services
- Organization subpart
- No
- Enumeration date
- Aug 23, 2022
- Certification date
- Aug 17, 2022
- Last updated
- Aug 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
600 N Arrowhead Ave Ste 300San Bernardino, CA 92401-1148
Phone 310-621-8278
Mailing address
600 N Arrowhead Ave Ste 300San Bernardino, CA 92401-1148
Phone 310-621-8278
Other practice locations
600 N Arrowhead Ave Ste 300
San Bernardino, CA 92401-1148
San Bernardino, CA 92401-1148
Phone 310-621-8278
Authorized official
Gloria Lorraine Aldridge
Clinican
5623228881
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