| Cerebrum Exploration Counseling, Licensed Clinical Social Worker Corp | |
|
23161 Mill Creek Dr Ste 315 Laguna Hills CA 92653-7907 | |
| (818) 445-0952 | |
| (949) 368-9843 |
| Full Name | Cerebrum Exploration Counseling, Licensed Clinical Social Worker Corp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 23161 Mill Creek Dr Ste 315, Laguna Hills, California |
| Authorized Official Name and Position | Gladys Y Newbury (PRESIDENT/CEO) |
| Authorized Official Contact | 8184450952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cerebrum Exploration Counseling, Licensed Clinical Social Worker Corp 2102 Business Center Dr # 2010 Irvine CA 92612-1001 Ph: (818) 445-0952 | Cerebrum Exploration Counseling, Licensed Clinical Social Worker Corp 23161 Mill Creek Dr Ste 315 Laguna Hills CA 92653-7907 Ph: (818) 445-0952 |
| NPI Number | 1356141154 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 04/07/2025 |
| Certification Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356141154 | NPI | - | NPPES |
| 1164174710 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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