Individual
MR. CARLOS BERNAL MARES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A./PPS/APCC
Contact information
Practice address
6700 INDIANA AVE, RIVERSIDE, CA 92506-4290
(909) 599-1227
Mailing address
6700 INDIANA AVE, RIVERSIDE, CA 92506-4290
(909) 599-1227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APCC5999
CA
Other
Enumeration date
09/21/2010
Last updated
10/28/2020
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