Bbk Psychotherapeutic Services, Inc. | |
501 N Golden Circle Dr Suite 100 Santa Ana CA 92705-3913 | |
(714) 543-0483 | |
(714) 543-0483 |
Full Name | Bbk Psychotherapeutic Services, Inc. |
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Speciality | Marriage & Family Therapist |
Location | 501 N Golden Circle Dr, Santa Ana, California |
Authorized Official Name and Position | Richard Bautzer (PRESIDENT) |
Authorized Official Contact | 7145430483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bbk Psychotherapeutic Services, Inc. 501 N Golden Circle Dr Suite 100 Santa Ana CA 92705-3913 Ph: (714) 543-0483 | Bbk Psychotherapeutic Services, Inc. 501 N Golden Circle Dr Suite 100 Santa Ana CA 92705-3913 Ph: (714) 543-0483 |
NPI Number | 1679872196 |
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Provider Enumeration Date | 03/23/2011 |
Last Update Date | 09/12/2012 |
Identifier | Type | State | Issuer |
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1679872196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFC40764 (California) | Primary |
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