| Weber Counseling Services A Licensed Clinical Social Worker Pr | |
|
765 N Main St Ste 127 Corona CA 92878-1440 | |
| (951) 751-9636 | |
| Not Available |
| Full Name | Weber Counseling Services A Licensed Clinical Social Worker Pr |
|---|---|
| Speciality | Social Worker |
| Location | 765 N Main St Ste 127, Corona, California |
| Authorized Official Name and Position | Jodi Bennett (BILLING MANAGER) |
| Authorized Official Contact | 9514232202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weber Counseling Services A Licensed Clinical Social Worker Pr 1460 Paso Fino Pl Norco CA 92860-3931 Ph: () - | Weber Counseling Services A Licensed Clinical Social Worker Pr 765 N Main St Ste 127 Corona CA 92878-1440 Ph: (951) 751-9636 |
| NPI Number | 1316608482 |
|---|---|
| Provider Enumeration Date | 12/31/2021 |
| Last Update Date | 12/31/2021 |
| Certification Date | 12/31/2021 |
| Medicare PECOS PAC ID | 8325425499 |
|---|---|
| Medicare Enrollment ID | O20220510002161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316608482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katie Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902111255 PECOS PAC ID: 4486995602 Enrollment ID: I20190416001073 |
| Provider Name | Citlalli Gonzalez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366044794 PECOS PAC ID: 8224559851 Enrollment ID: I20250311002834 |
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