| High Impact Therapy, Licensed Clinical Social Worker, P.c. | |
|
1260 Buckthorn Dr Barstow CA 92311-4997 | |
| (760) 217-6677 | |
| Not Available |
| Full Name | High Impact Therapy, Licensed Clinical Social Worker, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1260 Buckthorn Dr, Barstow, California |
| Authorized Official Name and Position | Shannon Nicole Baird (THERAPY) |
| Authorized Official Contact | 7602176677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Impact Therapy, Licensed Clinical Social Worker, P.c. 1260 Buckthorn Dr Barstow CA 92311-4997 Ph: (760) 217-6677 | High Impact Therapy, Licensed Clinical Social Worker, P.c. 1260 Buckthorn Dr Barstow CA 92311-4997 Ph: (760) 217-6677 |
| NPI Number | 1245173236 |
|---|---|
| Provider Enumeration Date | 04/13/2026 |
| Last Update Date | 04/13/2026 |
| Certification Date | 04/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245173236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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