Dr Clarence Carl Wilson, DBH, LPCC | |
851 S Mount Vernon Ave Ste 7a, Colton, CA 92324-3926 | |
(760) 241-6044 | |
(760) 820-2704 |
Full Name | Dr Clarence Carl Wilson |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 851 S Mount Vernon Ave Ste 7a, Colton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033496245 | NPI | - | NPPES |
Entity Name | Covenant Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164967527 PECOS PAC ID: 2668824319 Enrollment ID: O20240117004850 |
Mailing Address | Practice Location Address |
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Dr Clarence Carl Wilson, DBH, LPCC 851 S Mount Vernon Ave Ste 7a, Colton, CA 92324-3926 Ph: (760) 241-6044 | Dr Clarence Carl Wilson, DBH, LPCC 851 S Mount Vernon Ave Ste 7a, Colton, CA 92324-3926 Ph: (760) 241-6044 |
Ms. Judith A Tate, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1330 E Cooley Dr, Colton, CA 92324 Phone: 909-580-3705 Fax: 909-803-3747 | |
Maria Lugo, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 E Cooley Dr Ste 240, Colton, CA 92324 Phone: 909-433-0445 | |
Mr. Paul William Klier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1076 Santo Antono, Suite B, Colton, CA 92342 Phone: 909-433-9824 Fax: 909-433-9830 | |
Miss Jessica Estrada, RECOVERY WORKER Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 E Cooley Dr, Colton, CA 92324 Phone: 909-370-1777 Fax: 909-370-1776 | |
Katie Wiseman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1461 E Cooley Dr Ste 100, Colton, CA 92324 Phone: 877-527-7227 | |
Nicole Shaver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23950 Prado Ln, Colton, CA 92324 Phone: 909-514-1958 | |
Sandra Hernandez-chavez, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1461 E Cooley Dr Ste 100, Colton, CA 92324 Phone: 877-527-7227 |