| Diversified Behavioral Health, A Professional Clinical Counselor Corpo | |
|
26040 Acero Ste 207 Mission Viejo CA 92691-2768 | |
| (949) 842-8595 | |
| Not Available |
| Full Name | Diversified Behavioral Health, A Professional Clinical Counselor Corpo |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 26040 Acero Ste 207, Mission Viejo, California |
| Authorized Official Name and Position | Wendy Boring-bray (PRESIDENT) |
| Authorized Official Contact | 9498428595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Behavioral Health, A Professional Clinical Counselor Corpo Po Box 224 Dana Point CA 92629-0224 Ph: () - | Diversified Behavioral Health, A Professional Clinical Counselor Corpo 26040 Acero Ste 207 Mission Viejo CA 92691-2768 Ph: (949) 842-8595 |
| NPI Number | 1598365942 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598365942 | NPI | - | NPPES |
| 1699028134 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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