| Wildomar Psychotherapy Center, Inc. | |
|
33030 Mission Trail Wildomar CA 92595-8423 | |
| (951) 279-5905 | |
| (951) 279-5905 |
| Full Name | Wildomar Psychotherapy Center, Inc. |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 33030 Mission Trail, Wildomar, California |
| Authorized Official Name and Position | Ronald Dean Morgan (PRESIDENT) |
| Authorized Official Contact | 9512795905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildomar Psychotherapy Center, Inc. 4117 Pearl St. Lake Elsinore CA 92530-2023 Ph: (951) 279-5905 | Wildomar Psychotherapy Center, Inc. 33030 Mission Trail Wildomar CA 92595-8423 Ph: (951) 279-5905 |
| NPI Number | 1215390315 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215390315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PSY12109 (California) | Primary |
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