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Organization
VETERANS SUPPLEMENTAL SUPPORT NETWORK
Active
Organization
VETERANS SUPPLEMENTAL SUPPORT NETWORK
Active
Other names
VSSN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAISY B TATE (BOARD CHAIR)
(415) 779-8776
Entity
Organization
Contact information
Practice address
41593 WINCHESTER RD, STE 200, TEMECULA, CA 92590-4857
(414) 577-9877
Mailing address
41593 WINCHESTER RD STE 200, TEMECULA, CA 92590-4857
(415) 779-8776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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