| Free At Heart Online Therapy Licensed Clinical Social Worker Pc | |
|
140 E Commonwealth Ave Ste 208 Fullerton CA 92832-1905 | |
| (530) 591-5915 | |
| Not Available |
| Full Name | Free At Heart Online Therapy Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 140 E Commonwealth Ave Ste 208, Fullerton, California |
| Authorized Official Name and Position | Michael Courter (CEO) |
| Authorized Official Contact | 5305915915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free At Heart Online Therapy Licensed Clinical Social Worker Pc 1237 Mocking Bird Ln Eclectic AL 36024-6368 Ph: (530) 591-5915 | Free At Heart Online Therapy Licensed Clinical Social Worker Pc 140 E Commonwealth Ave Ste 208 Fullerton CA 92832-1905 Ph: (530) 591-5915 |
| NPI Number | 1669049581 |
|---|---|
| Provider Enumeration Date | 06/09/2021 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669049581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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