| Alta Connect Carellc | |
|
2900 Bristol St # 206 Costa Mesa CA 92626-5981 | |
| (949) 302-9767 | |
| Not Available |
| Full Name | Alta Connect Carellc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2900 Bristol St # 206, Costa Mesa, California |
| Authorized Official Name and Position | Maren Earn (MANAGER) |
| Authorized Official Contact | 9493029767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Connect Carellc 2900 Bristol St # 206 Costa Mesa CA 92626-5981 Ph: (949) 302-9767 | Alta Connect Carellc 2900 Bristol St # 206 Costa Mesa CA 92626-5981 Ph: (949) 302-9767 |
| NPI Number | 1386112647 |
|---|---|
| Provider Enumeration Date | 11/05/2018 |
| Last Update Date | 11/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386112647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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