Healthcare Provider Details

I. General information

NPI: 1831947712
Provider Name (Legal Business Name): THE SCHOOL OF ARTS AND ENTERPRISE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2024
Last Update Date: 05/07/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 N GAREY AVE
POMONA CA
91767-5429
US

IV. Provider business mailing address

295 N GAREY AVE
POMONA CA
91767-5429
US

V. Phone/Fax

Practice location:
  • Phone: 909-622-0699
  • Fax:
Mailing address:
  • Phone: 909-622-0699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL TREESUWAN
Title or Position: CHIEF ACADEMIC OFFICER
Credential: DOCTORAL STUDENT
Phone: 909-622-0699