MEDICARE: CLOVER BEAR FAMILY COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1750239299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLOVER BEAR FAMILY COUNSELING

Provider Business Mailing Address
First Line	:	1605 SAN MIGUEL AVE
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-4455
Country	:	US
Telephone Number	:	619-708-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1605 SAN MIGUEL AVE
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-4455
Country	:	US
Telephone Number	:	619-708-8888
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JESSICA NAVA ORELLANA
Credential	:	LMFT
Telephone Number	:	619-708-8888

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “CLOVER BEAR FAMILY COUNSELING ” Practice Location

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