| Chandra Medina, Marriage And Family Therapy Inc | |
|
22792 Centre Dr Ste 104 Lake Forest CA 92630-6311 | |
| (714) 326-3722 | |
| Not Available |
| Full Name | Chandra Medina, Marriage And Family Therapy Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 22792 Centre Dr Ste 104, Lake Forest, California |
| Authorized Official Name and Position | Chandra Medina (PRESIDENT/OWNER) |
| Authorized Official Contact | 7143263722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandra Medina, Marriage And Family Therapy Inc 22792 Centre Dr Ste 104 Lake Forest CA 92630-6311 Ph: (714) 326-3722 | Chandra Medina, Marriage And Family Therapy Inc 22792 Centre Dr Ste 104 Lake Forest CA 92630-6311 Ph: (714) 326-3722 |
| NPI Number | 1467285478 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467285478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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