Organization
KIDS COURT AND COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOL STOLAR-PETERSON LCSW (DIRECTOR)
(951) 742-7135
Entity
Organization
Contact information
Practice address
6840 INDIANA AVE, SUITE 275, RIVERSIDE, CA 92506-4298
(951) 742-7135
Mailing address
6840 INDIANA AVE, SUITE 275, RIVERSIDE, CA 92506-4298
(951) 742-7135
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW26051
CA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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