Miss Tracy Laveria Wilborn, CERTIFICATE | |
1874 So. Business Center Drive, Same As Business Mailing Address, San Bernadino, CA 92408 | |
(909) 386-0523 | |
(909) 386-0529 |
Full Name | Miss Tracy Laveria Wilborn |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1874 So. Business Center Drive, San Bernadino, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023381886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Primary |
Mailing Address | Practice Location Address |
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Miss Tracy Laveria Wilborn, CERTIFICATE 1874 Business Center Dr, San Bernardino, CA 92408-3457 Ph: (909) 386-0523 | Miss Tracy Laveria Wilborn, CERTIFICATE 1874 So. Business Center Drive, Same As Business Mailing Address, San Bernadino, CA 92408 Ph: (909) 386-0523 |
Deirdre Parkinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1585 South D Street, Suite 101, San Bernadino, CA 92408 Phone: 909-388-2222 Fax: 909-388-2220 |