Kelly Orchard, Marriage And Family Therapist, Inc. | |
32605 Temecula Pkwy Ste 207 Temecula CA 92592-6839 | |
(760) 887-4444 | |
Not Available |
Full Name | Kelly Orchard, Marriage And Family Therapist, Inc. |
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Speciality | Clinic/Center |
Location | 32605 Temecula Pkwy Ste 207, Temecula, California |
Authorized Official Name and Position | Kelly Orchard (PRESIDENT) |
Authorized Official Contact | 7608874444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kelly Orchard, Marriage And Family Therapist, Inc. 32605 Temecula Pkwy Ste 207 Temecula CA 92592-6839 Ph: (760) 887-4444 | Kelly Orchard, Marriage And Family Therapist, Inc. 32605 Temecula Pkwy Ste 207 Temecula CA 92592-6839 Ph: (760) 887-4444 |
NPI Number | 1538714431 |
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Provider Enumeration Date | 08/07/2019 |
Last Update Date | 10/18/2024 |
Certification Date | 10/18/2024 |
Medicare PECOS PAC ID | 2769917467 |
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Medicare Enrollment ID | O20241118003551 |
Identifier | Type | State | Issuer |
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1538714431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Kelly Orchard |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1306104757 PECOS PAC ID: 5496280190 Enrollment ID: I20241118003625 |
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