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NPI Code Detail

MEDICARE: CLOVER BEAR FAMILY COUNSELING

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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1942153879
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 : 855-461-3392
Authorized Official
Title or Position : THERAPIST/ LMFT PSYCHOTHERAPIST
Name : JESSICA NAVA ORELLANA
Credential : LMFT
Telephone Number : 619-708-8888
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “CLOVER BEAR FAMILY COUNSELING ” Practice Location

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