Grace Counseling Group | |
4132 Katella Ave Ste 104 Los Alamitos CA 90720-3493 | |
(562) 598-5991 | |
(562) 598-5997 |
Full Name | Grace Counseling Group |
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Speciality | Marriage & Family Therapist |
Location | 4132 Katella Ave Ste 104, Los Alamitos, California |
Authorized Official Name and Position | Steven Craig Schoger (CLINIC DIRECTOR) |
Authorized Official Contact | 5625985991 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grace Counseling Group 4132 Katella Ave Ste 104 Los Alamitos CA 90720-3493 Ph: (562) 598-5991 | Grace Counseling Group 4132 Katella Ave Ste 104 Los Alamitos CA 90720-3493 Ph: (562) 598-5991 |
NPI Number | 1245411461 |
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Provider Enumeration Date | 11/15/2007 |
Last Update Date | 11/15/2007 |
Medicare PECOS PAC ID | 8921444332 |
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Medicare Enrollment ID | O20240307002969 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245411461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFC35972 (California) | Primary |
Provider Name | Keith David Attardo |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1003049560 PECOS PAC ID: 9830535244 Enrollment ID: I20240307003056 |
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