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NORTHSTAR LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC 1548937535

Overview
Name: NORTHSTAR LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC Specialty: Professional Counselor Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers Classification: Counselor Specialization: Professional. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: NORTHSTAR LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC,74710 HIGHWAY 111 STE 102,PALM DESERT,CA,922603820,US Mailing Address: NORTHSTAR LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC,1642 LAS CASITAS DR. 2503,BORREGO SPRINGS,CA,92004,US
Contact #
Practice location phone #: 7602709200 Practice location fax #: 8882700801 Mailing address Phone #: 7046686401 Mailing Address fax #: 8882700801 Authorized official Name/Telephone #:DR., CHARLES, UKAOMA, DOCTOR OF PSYCHOLOGY, PRESIDENT/ADMINISTRATOR 7602709200
Misc
Date NPI was obtained: 08/26/2021 Last data data was updated: 08/26/2021 Insurances:
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