| Haven Psychotherapy Licensed Clinical Social Worker Corp | |
|
13422 Newport Ave Ste L Tustin CA 92780-3746 | |
| (949) 484-8124 | |
| Not Available |
| Full Name | Haven Psychotherapy Licensed Clinical Social Worker Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13422 Newport Ave Ste L, Tustin, California |
| Authorized Official Name and Position | Andrea Owen (CEO AND FOUNDER) |
| Authorized Official Contact | 9494848124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Psychotherapy Licensed Clinical Social Worker Corp 13422 Newport Ave Ste L Tustin CA 92780-3746 Ph: (949) 484-8124 | Haven Psychotherapy Licensed Clinical Social Worker Corp 13422 Newport Ave Ste L Tustin CA 92780-3746 Ph: (949) 484-8124 |
| NPI Number | 1790596872 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790596872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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