| Add Treatment Center | |
|
27725 Santa Margarita Pkwy Suite 215 Mission Viejo CA 92691-6704 | |
| (949) 272-3870 | |
| (949) 951-2802 |
| Full Name | Add Treatment Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 27725 Santa Margarita Pkwy, Mission Viejo, California |
| Authorized Official Name and Position | Rachel Yvonne Du Bruyne (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 9492723870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Add Treatment Center 27725 Santa Margarita Pkwy Suite 215 Mission Viejo CA 92691-6704 Ph: (949) 272-3870 | Add Treatment Center 27725 Santa Margarita Pkwy Suite 215 Mission Viejo CA 92691-6704 Ph: (949) 272-3870 |
| NPI Number | 1942246582 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942246582 | NPI | - | NPPES |
| PSY 12832 | Other | CA | CLINICAL PSYCH LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 12832 (California) | Primary |
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