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Organization
CORAZON COUNSELING SERVICE
Active
Organization
CORAZON COUNSELING SERVICE
Active
Other names
Corazon Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIA ORTEGA JARA LCSW (OWNER)
(951) 452-0067
Entity
Organization
Contact information
Practice address
3742 TIBBETTS ST STE 201, RIVERSIDE, CA 92506-2641
(951) 452-0067
Mailing address
3742 TIBBETTS ST STE 201, RIVERSIDE, CA 92506-2641
(951) 452-0067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61936
CA
Other
Enumeration date
07/31/2018
Last updated
01/23/2019
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