| Green Pacific Counseling & Psychology Inc | |
|
25431 Cabot Rd Ste 111 Laguna Hills CA 92653-5526 | |
| (949) 304-0911 | |
| (949) 304-0911 |
| Full Name | Green Pacific Counseling & Psychology Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 25431 Cabot Rd Ste 111, Laguna Hills, California |
| Authorized Official Name and Position | Rasoul Malekjah (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9493040911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Pacific Counseling & Psychology Inc 25431 Cabot Rd Ste 111 Laguna Hills CA 92653-5526 Ph: (949) 304-0911 | Green Pacific Counseling & Psychology Inc 25431 Cabot Rd Ste 111 Laguna Hills CA 92653-5526 Ph: (949) 304-0911 |
| NPI Number | 1376069179 |
|---|---|
| Provider Enumeration Date | 08/15/2017 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376069179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 24792 (California) | Primary |
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