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Organization

EKERETTE J ESSIEN, PHD

Active
Other names
California Stress Control Mgmt Ctr
Organization subpart
No

Provider details

NPI number
Authorized official
EKERETTE JOSEPH ESSIEN PHD (OWNER)
(951) 660-3050
Entity
Organization

Contact information

Practice address
5206 BENITO ST, STE 106, MONTCLAIR, CA 91763-2852
(951) 660-3050
(888) 235-1709
Mailing address
16795 CATALONIA DR, RIVERSIDE, CA 92504-8705
(951) 660-3050
(888) 235-1709

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17740
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PSY177400
CA
Enumeration date
08/16/2013
Last updated
08/16/2013
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