| Yucca Desert Counseling Licensed Clinical Social Worker P.c. | |
|
57490 29 Palms Hwy Ste C Yucca Valley CA 92284-2963 | |
| (909) 480-6566 | |
| Not Available |
| Full Name | Yucca Desert Counseling Licensed Clinical Social Worker P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 57490 29 Palms Hwy Ste C, Yucca Valley, California |
| Authorized Official Name and Position | Candice Cavanaugh (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9094806566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yucca Desert Counseling Licensed Clinical Social Worker P.c. Po Box 894 Yucca Valley CA 92286-0894 Ph: (909) 480-6566 | Yucca Desert Counseling Licensed Clinical Social Worker P.c. 57490 29 Palms Hwy Ste C Yucca Valley CA 92284-2963 Ph: (909) 480-6566 |
| NPI Number | 1003759598 |
|---|---|
| Provider Enumeration Date | 04/10/2026 |
| Last Update Date | 04/10/2026 |
| Certification Date | 04/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003759598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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