| Henriquez Counseling And Wellness | |
|
1221 E Herring Ave West Covina CA 91790-4325 | |
| (661) 902-1091 | |
| Not Available |
| Full Name | Henriquez Counseling And Wellness |
|---|---|
| Speciality | Counselor |
| Location | 1221 E Herring Ave, West Covina, California |
| Authorized Official Name and Position | Ansely Henriquez (CEO/DIRECTOR) |
| Authorized Official Contact | 6619021091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henriquez Counseling And Wellness 1221 E Herring Ave West Covina CA 91790-4325 Ph: (661) 902-1091 | Henriquez Counseling And Wellness 1221 E Herring Ave West Covina CA 91790-4325 Ph: (661) 902-1091 |
| NPI Number | 1871178046 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Medicare PECOS PAC ID | 0345760054 |
|---|---|
| Medicare Enrollment ID | O20250225003268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871178046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ansely Henriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407988322 PECOS PAC ID: 9436679057 Enrollment ID: I20250228002714 |
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