GOOD SHEPHERD COUNSELING CLINIC NPI 1649591520

NPI Information

GOOD SHEPHERD COUNSELING CLINIC is a mental health counselor in Lake Elsinore, CA. GOOD SHEPHERD COUNSELING CLINIC NPI is 1649591520. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30713 RIVERSIDE DR
SUITE 203
LAKE ELSINORE, CA
ZIP 92530-714
Phone: (951) 678-1642

The provider's authorized official is Susan Marie Kell .
The authorized official title is Owner and has the following contact phone number (951) 678-1642.

The enumeration date for this NPI number is 6/15/2010 and was last updated on 6/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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