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Organization
EUDAI BEHAVIORAL HEALTH & FAMILY THERAPY INC
Active
Organization
EUDAI BEHAVIORAL HEALTH & FAMILY THERAPY INC
Active
Other names
Eudai Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERYLL PRINZ-MCMILLAN LMFT (CEO)
(909) 312-0607
Entity
Organization
Contact information
Practice address
473 E. CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
(909) 312-0607
Mailing address
473 E. CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
(909) 312-0607
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
NULL
101YS0200X
School Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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