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: