MEDICARE: RESOLUTE CONSULTING AND COUNSELING, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	101Y00000X	Counselor
3	251B00000X	Case Management Agency
4	251K00000X	Public Health or Welfare Agency
5	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1861239378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOLUTE CONSULTING AND COUNSELING, LLC

Provider Business Mailing Address
First Line	:	28714 VALLEY CENTER RD # II
Second Line	:
City	:	VALLEY CENTER
State	:	CA
Zip	:	92082-6554
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	28714 VALLEY CENTER RD # II
Second Line	:
City	:	VALLEY CENTER
State	:	CA
Zip	:	92082-6554
Country	:	US
Telephone Number	:	760-638-4333
Fax Number	:

Authorized Official
Title or Position	:	CO- FOUNDER
Name	:	MRS. DAWN FARRIER
Credential	:	LCSW
Telephone Number	:	760-445-1225

Provider Enumeration Date	:	07/11/2024
Last Update Date	:	07/11/2024

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