| Advocate Family Counseling Professional Corporation | |
|
10578 Deer Canyon Dr Alta Loma CA 91737-2478 | |
| (909) 689-7241 | |
| Not Available |
| Full Name | Advocate Family Counseling Professional Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 10578 Deer Canyon Dr, Alta Loma, California |
| Authorized Official Name and Position | Sydney Simone Johnson (THERAPIST/OWNER) |
| Authorized Official Contact | 9096897241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocate Family Counseling Professional Corporation 8605 Santa Monica Blvd West Hollywood CA 90069-4109 Ph: (909) 689-7241 | Advocate Family Counseling Professional Corporation 10578 Deer Canyon Dr Alta Loma CA 91737-2478 Ph: (909) 689-7241 |
| NPI Number | 1508601329 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/21/2024 |
| Medicare PECOS PAC ID | 2567996770 |
|---|---|
| Medicare Enrollment ID | O20250211003897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508601329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Sydney Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043828494 PECOS PAC ID: 7113379728 Enrollment ID: I20240119000603 |
Aba Bears, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8780 19th St, Unit 398, Alta Loma, CA 91701 Phone: 888-618-2327 Fax: 888-918-2327 |