| Congruent Lives | |
|
2601 E Chapman Ave Ste 102 Fullerton CA 92831-3737 | |
| (949) 293-6249 | |
| Not Available |
| Full Name | Congruent Lives |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2601 E Chapman Ave Ste 102, Fullerton, California |
| Authorized Official Name and Position | Yasamin Farhad (LMFT/OWNER) |
| Authorized Official Contact | 9492936249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Congruent Lives 2601 E Chapman Ave Ste 102 Fullerton CA 92831-3737 Ph: (949) 293-6249 | Congruent Lives 2601 E Chapman Ave Ste 102 Fullerton CA 92831-3737 Ph: (949) 293-6249 |
| NPI Number | 1972045409 |
|---|---|
| Provider Enumeration Date | 11/15/2016 |
| Last Update Date | 11/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972045409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 81557 (California) | Primary |
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