Organization · Type 2 NPI
Integrative Therapy Licensed Clinical Social Worker S-Corp
Mental Health Counselor · Eastvale, CA
NPI number
1811830342
Active
Practice location
13329 Bashkir St
Eastvale, CA 92880-3945
Mailing address
1801 Town And Country Dr Unit 36
Norco, CA 92860-8102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1811830342
Integrative Therapy Licensed Clinical Social Worker S-Corp's National Provider Identifier is 1811830342, issued on Apr 10, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eastvale, CA. The record was last updated on Oct 21, 2026.