| Emmaus Road Christian Counseling | |
|
1111 W Covina Blvd Ste 120a San Dimas CA 91773-3205 | |
| (190) 997-93722 | |
| Not Available |
| Full Name | Emmaus Road Christian Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1111 W Covina Blvd Ste 120a, San Dimas, California |
| Authorized Official Name and Position | Amanda Hansen (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9099793722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmaus Road Christian Counseling 1111 W Covina Blvd Ste 120a San Dimas CA 91773-3205 Ph: (190) 997-93722 | Emmaus Road Christian Counseling 1111 W Covina Blvd Ste 120a San Dimas CA 91773-3205 Ph: (190) 997-93722 |
| NPI Number | 1770008153 |
|---|---|
| Provider Enumeration Date | 08/07/2017 |
| Last Update Date | 08/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770008153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (California) | Primary |
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