| Co-padres Psychotherapeutic Sercices | |
|
460 E Carson Plaza Dr 215 Carson CA 90746-3228 | |
| (714) 260-4517 | |
| Not Available |
| Full Name | Co-padres Psychotherapeutic Sercices |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 460 E Carson Plaza Dr, Carson, California |
| Authorized Official Name and Position | Sandra Barela (OWNER) |
| Authorized Official Contact | 7142604517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Co-padres Psychotherapeutic Sercices 460 E Carson Plaza Dr 215 Carson CA 90746-3228 Ph: (714) 260-4517 | Co-padres Psychotherapeutic Sercices 460 E Carson Plaza Dr 215 Carson CA 90746-3228 Ph: (714) 260-4517 |
| NPI Number | 1811435910 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811435910 | NPI | - | NPPES |
| 1891029468 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT95361 (California) | Primary |
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