Organization
A-WAY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN SIMMONS LMFT (PRESIDENT)
(760) 508-1075
Entity
Organization
Contact information
Practice address
15409 ANACAPA RD STE F, VICTORVILLE, CA 92392-2463
(760) 508-1075
Mailing address
15409 ANACAPA RD STE F, VICTORVILLE, CA 92392-2463
(760) 508-1075
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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