Organization
ASHINA MENTAL HEALTH LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE POLZEL (CEO)
(951) 946-1106
Entity
Organization
Contact information
Practice address
140 S GRAND AVE STE C, GLENDORA, CA 91741-4259
(562) 332-8819
Mailing address
PO BOX 1362, SAN JACINTO, CA 92581-1362
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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