Organization
ENCOURAGERS COUNSELING AND TRAINING CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI COFFMAN LMFT (CEO/PRESIDENT)
(951) 900-4414
Entity
Organization
Contact information
Practice address
29970 TECHNOLOGY DR STE 212, MURRIETA, CA 92563-2649
(951) 900-4414
(951) 880-0817
Mailing address
29970 TECHNOLOGY DR STE 212, MURRIETA, CA 92563-2649
(951) 900-4414
(951) 880-0817
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083130132
—
CA
01
—
1578802146
MEDI-CAL
CA
Enumeration date
10/31/2014
Last updated
09/07/2024
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