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Organization
CLINICAL SOLUTIONS, LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Organization
CLINICAL SOLUTIONS, LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Other names
Clinical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
KENYADA WAGONER LCSW (CO-OWNER)
(951) 214-5071
Entity
Organization
Contact information
Practice address
1519 WASHINGTON AVE, SAN JACINTO, CA 92583-6075
(951) 214-5071
Mailing address
315 E ESPLANADE AVE # 89, SAN JACINTO, CA 92583-5102
(951) 214-5071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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