| Future Self Counseling | |
|
306 Santa Maria Irvine CA 92606-0621 | |
| (801) 615-3160 | |
| Not Available |
| Full Name | Future Self Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 306 Santa Maria, Irvine, California |
| Authorized Official Name and Position | Melissa Tacy Illario (MANAGING MEMBER) |
| Authorized Official Contact | 8016153160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Future Self Counseling 306 Santa Maria Irvine CA 92606-0621 Ph: () - | Future Self Counseling 306 Santa Maria Irvine CA 92606-0621 Ph: (801) 615-3160 |
| NPI Number | 1598509499 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598509499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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