| Mission Viejo Counseling Inc | |
|
31878 Del Obispo St # 118-384 San Juan Capistrano CA 92675-3223 | |
| (949) 586-1703 | |
| Not Available |
| Full Name | Mission Viejo Counseling Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 31878 Del Obispo St # 118-384, San Juan Capistrano, California |
| Authorized Official Name and Position | Daniel None Vigil (PRESIDENT) |
| Authorized Official Contact | 9495861703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Viejo Counseling Inc 31878 Del Obispo St # 118-384 San Juan Capistrano CA 92675-3223 Ph: (949) 586-1703 | Mission Viejo Counseling Inc 31878 Del Obispo St # 118-384 San Juan Capistrano CA 92675-3223 Ph: (949) 586-1703 |
| NPI Number | 1760607519 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 5890234058 |
|---|---|
| Medicare Enrollment ID | O20240831000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760607519 | NPI | - | NPPES |
| 1225050537 | Other | CA | PERSONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC19214 (California) | Primary |
| Provider Name | Daniel Vigil |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225050537 PECOS PAC ID: 1850822172 Enrollment ID: I20240926004600 |
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