| Full Brain Family Therapy Inc | |
|
29829 Santa Margarita Pkwy Rancho Santa Margarita CA 92688-3622 | |
| (949) 464-8055 | |
| Not Available |
| Full Name | Full Brain Family Therapy Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 29829 Santa Margarita Pkwy, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Morgan Pemberton (CEO/LEAD THERAPIST) |
| Authorized Official Contact | 9494648055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Brain Family Therapy Inc 27762 Antonio Pkwy Ste L1 #251 Ladera Ranch CA 92694-1141 Ph: (949) 464-8055 | Full Brain Family Therapy Inc 29829 Santa Margarita Pkwy Rancho Santa Margarita CA 92688-3622 Ph: (949) 464-8055 |
| NPI Number | 1528637519 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528637519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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