Organization
ASHINA MENTAL HEALTH LICENSED CLINICAL SOCIAL WORKER INC
Active
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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