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Organization

GATEWAY COUNSELING CNETER

Active
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Organization

GATEWAY COUNSELING CNETER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC HASEMEYER MFT (MARRIAGE AND FAMILY THERAPIST)
(951) 243-5576
Entity
Organization

Contact information

Practice address
12712 HEACOCK ST, MORENO VALLEY, CA 92553-3037
(951) 243-5576
Mailing address
12712 HEACOCK ST, MORENO VALLEY, CA 92553-3037
(951) 243-5576

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
07/08/2008
Last updated
07/08/2008
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