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Organization
PSYCHOTHERAPY PLUS
Active
Organization
PSYCHOTHERAPY PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE WEATHINGTON (CLINICAL DIRECTO)
(909) 475-1777
Entity
Organization
Contact information
Practice address
408 W 17TH ST, SAN BERNARDINO, CA 92405-4414
(909) 475-1777
(888) 821-3165
Mailing address
PO BOX 26027, SAN BERNARDINO, CA 92406-0727
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
21951
CA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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