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Therapy In A Bag, Licensed Clinical Social Worker, INC.

Social Worker, Clinical in Riverside, CA. Organization (NPI-2).

NPI number1982182903
StatusActive
Last updated in NPPESOct 17, 2019

Details

NPI
1982182903
Entity type
Organization (NPI-2)
Legal business name
Therapy In A Bag, Licensed Clinical Social Worker, INC.
Organization subpart
No
Enumeration date
Aug 1, 2018
Last updated
Oct 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
101YM0800X Counselor, Mental Health––

Practice location

4164 Brockton Ave
Riverside, CA 92501-3400

Phone 951-347-6935 · Fax 951-346-9175

Mailing address

Po Box 1403
Riverside, CA 92502-1403

Phone 951-347-6935 · Fax 951-346-9175

Authorized official

Lisa M Dryan
President Therapy In A Bag, A Licen
9513476935

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