| Cactus Roots Marriage, Family, And Child Counseling Inc. | |
|
4050 Katella Ave Ste 213 Los Alamitos CA 90720-3486 | |
| (562) 444-8951 | |
| Not Available |
| Full Name | Cactus Roots Marriage, Family, And Child Counseling Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4050 Katella Ave Ste 213, Los Alamitos, California |
| Authorized Official Name and Position | Stephanie Torres (CEO) |
| Authorized Official Contact | 5624448951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cactus Roots Marriage, Family, And Child Counseling Inc. 4050 Katella Ave Ste 213 Los Alamitos CA 90720-3486 Ph: (562) 444-8951 | Cactus Roots Marriage, Family, And Child Counseling Inc. 4050 Katella Ave Ste 213 Los Alamitos CA 90720-3486 Ph: (562) 444-8951 |
| NPI Number | 1801483482 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 12/29/2020 |
| Certification Date | 12/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801483482 | NPI | - | NPPES |
| 1851704399 | Other | CA | NPI INDIVIDUAL TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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