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 |
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Future Self Counseling 17192 Murphy Ave #14601 Irvine CA 92623-0426 Ph: () - | Future Self Counseling 306 Santa Maria Irvine CA 92606-0621 Ph: (801) 615-3160 |
NPI Number | 1598509499 |
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Provider Enumeration Date | 06/24/2024 |
Last Update Date | 08/06/2024 |
Certification Date | 08/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598509499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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