Mission Viejo Counseling | |
23120 Alicia Pkwy Suite 200 Mission Viejo CA 92692-1210 | |
(949) 586-1703 | |
Not Available |
Full Name | Mission Viejo Counseling |
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Speciality | Marriage & Family Therapist |
Location | 23120 Alicia Pkwy, Mission Viejo, California |
Authorized Official Name and Position | Daniel None Vigil (COUNSELOR) |
Authorized Official Contact | 9495861703 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mission Viejo Counseling 23120 Alicia Pkwy Suite 200 Mission Viejo CA 92692-1210 Ph: (949) 586-1703 | Mission Viejo Counseling 23120 Alicia Pkwy Suite 200 Mission Viejo CA 92692-1210 Ph: (949) 586-1703 |
NPI Number | 1760607519 |
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Provider Enumeration Date | 04/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760607519 | NPI | - | NPPES |
1225050537 | Other | CA | PERSONAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFC19214 (California) | Primary |
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