Individual
ANNELIESE EREBHOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1738 WATERMAN STR, SAN BERNARDINO, CA 92404-4605
(909) 693-3302
Mailing address
1738 N WATERMAN AVE STE 1, SAN BERNARDINO, CA 92404-5131
(909) 474-9610
(909) 474-9610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/09/2022
Last updated
08/29/2024
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