Genesis Counseling Service

NPI 1417134123 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1417134123
Enumeration Date 01/24/2008
Last Updated 01/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SUSAN KNEPP SUSAN
Position SATELITE DIRECTOR
Phone (760) 375-6348
Fax
Practice Location
1201 N CHINA LAKE BLVD
RIDGECREST CA, 93555-2660, US
Phone (760) 375-6348
Fax
Business Location
202 E AIRPORT DR
SUITE #175
SAN BERNARDINO CA, 92408-3444, US
Phone (909) 890-2299
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFT24526
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According to our database, Genesis Counseling Service NPI is 1417134123, taxonomy code is 106H00000X and license number is MFT24526, license state is located at California. Genesis Counseling Service physically located at 1201 N China Lake Blvd, Ridgecrest CA, 93555-2660. NPI Number 1033115704 has the healthcare provider type.

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1417134123 NPI number is provided on an as is basis without warranty of any kind. 1417134123 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Counseling Service are for informational purposes only.