Healthcare Provider Details

I. General information

NPI: 1942153879
Provider Name (Legal Business Name): CLOVER BEAR FAMILY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 SAN MIGUEL AVE
SPRING VALLEY CA
91977-4455
US

IV. Provider business mailing address

1605 SAN MIGUEL AVE
SPRING VALLEY CA
91977-4455
US

V. Phone/Fax

Practice location:
  • Phone: 619-708-8888
  • Fax: 855-461-3392
Mailing address:
  • Phone: 619-708-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JESSICA NAVA ORELLANA
Title or Position: THERAPIST/ LMFT PSYCHOTHERAPIST
Credential: LMFT
Phone: 619-708-8888