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Organization
SAMARITAN COUNSELING CENTER
Active
Organization
SAMARITAN COUNSELING CENTER
Active
Other names
Samaritan Center for Pastoral Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS G MCKOWN PSY. D. (EXECUTIVE DIRECTOR)
(909) 985-0513
Entity
Organization
Contact information
Practice address
1126 W FOOTHILL BLVD, SUITE 110, UPLAND, CA 91786-3768
(909) 985-0513
(909) 985-7193
Mailing address
1126 W FOOTHILL BLVD, SUITE 110, UPLAND, CA 91786-3768
(909) 985-0513
(909) 985-7193
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY 19880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659478113
DR. DOUG MCKOWN
CA
Enumeration date
03/06/2007
Last updated
10/29/2012
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