Organization
BAHRA AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BAHRA LCSW (LCSW/OWNER)
(714) 290-3009
Entity
Organization
Contact information
Practice address
15497 W SAND ST, VICTORVILLE, CA 92392-2910
(442) 327-9311
(442) 327-9315
Mailing address
14390 PARK AVE, VICTORVILLE, CA 92392-2310
(714) 305-3500
(714) 276-9436
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
10/27/2020
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