| Wellness & Prevention Foundation | |
|
189 Avenida La Cuesta San Clemente CA 92672-3144 | |
| (949) 680-0516 | |
| (949) 680-0516 |
| Full Name | Wellness & Prevention Foundation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 189 Avenida La Cuesta, San Clemente, California |
| Authorized Official Name and Position | Susan Parmelee (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9496800516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness & Prevention Foundation 300 Corte Mira Vis San Clemente CA 92673-6904 Ph: (949) 680-0516 | Wellness & Prevention Foundation 189 Avenida La Cuesta San Clemente CA 92672-3144 Ph: (949) 680-0516 |
| NPI Number | 1184130155 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184130155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 75679 (California) | Primary |
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