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Organization
THERAPY IN A BAG, LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Organization
THERAPY IN A BAG, LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M DRYAN LCSW (PRESIDENT THERAPY IN A BAG, A LICEN)
(951) 347-6935
Entity
Organization
Contact information
Practice address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 347-6935
(951) 346-9175
Mailing address
PO BOX 1403, RIVERSIDE, CA 92502-1403
(951) 347-6935
(951) 346-9175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
10/17/2019
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