Organization
ASP A PROFESSIONAL CLINICAL COUNSELOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA K GREENWALD (OWNER)
(619) 736-8361
Entity
Organization
Contact information
Practice address
1401 21ST ST STE R, SACRAMENTO, CA 95811-5226
(619) 736-8361
Mailing address
514 LUNA DR, OCEANSIDE, CA 92057-4328
(630) 460-9671
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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