Provider Demographics
NPI:1750006052
Name:NAVARRO PSYCHOLOGICAL & COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:NAVARRO PSYCHOLOGICAL & COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:951-708-1322
Mailing Address - Street 1:802 MAGNOLIA AVENUE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879
Mailing Address - Country:US
Mailing Address - Phone:951-708-1322
Mailing Address - Fax:951-266-6482
Practice Address - Street 1:802 MAGNOLIA AVENUE
Practice Address - Street 2:SUITE 107
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879
Practice Address - Country:US
Practice Address - Phone:951-708-1322
Practice Address - Fax:951-266-6482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty