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Organization
THERAVILLE COUNSELING SERVICES, A LCSW CORPORATION
Active
Organization
THERAVILLE COUNSELING SERVICES, A LCSW CORPORATION
Active
Other names
Theraville Counseling Services, A Licensed Clinical Social Worker Corp
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL BURNS (OWNER/CLINICIAN)
(909) 767-3450
Entity
Organization
Contact information
Practice address
202 E AIRPORT DR STE 265, SAN BERNARDINO, CA 92408-3444
(909) 939-5007
Mailing address
PO BOX 559, BEAUMONT, CA 92223-0559
(951) 386-9709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
11/04/2021
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