| Seasons Of Change Licensed Clinical Social Worker Inc | |
|
20288 W Valley Blvd Tehachapi CA 93561-8614 | |
| (760) 428-2776 | |
| (760) 560-2079 |
| Full Name | Seasons Of Change Licensed Clinical Social Worker Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20288 W Valley Blvd, Tehachapi, California |
| Authorized Official Name and Position | Andrea L Stocker (OWNER) |
| Authorized Official Contact | 7604282776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Of Change Licensed Clinical Social Worker Inc 20288 W Valley Blvd Tehachapi CA 93561-8614 Ph: (760) 428-2776 | Seasons Of Change Licensed Clinical Social Worker Inc 20288 W Valley Blvd Tehachapi CA 93561-8614 Ph: (760) 428-2776 |
| NPI Number | 1013801117 |
|---|---|
| Provider Enumeration Date | 06/04/2025 |
| Last Update Date | 06/04/2025 |
| Certification Date | 06/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013801117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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