NPI | 1528451663 |
---|---|
Doing Business As | ANTELOPE VALLEY MENTAL HEALTH PROFESSIONALS |
Entity Type | Organization |
Authorized Contact | NICOLE SEGROVES Office Manager 661-249-6720 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24704) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS19553) |
106H00000X Marriage & Family Therapist (Licence: CA LMFT52935) | |
2084N0400X Psychiatry & Neurology, Neurology | |
Enumeration Date | 2015-03-13 |
Last Update Date | 2020-02-12 |