| Nicole Lawrence | |
|
31815 Camino Capistrano Ste 15 San Juan Capistrano CA 92675-3212 | |
| (310) 614-1637 | |
| Not Available |
| Full Name | Nicole Lawrence |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 31815 Camino Capistrano Ste 15, San Juan Capistrano, California |
| Authorized Official Name and Position | Nicole Lawrence Testa (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 3106141637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Lawrence 14 Monarch Bay Plz # 224 Dana Point CA 92629-3467 Ph: (310) 614-1637 | Nicole Lawrence 31815 Camino Capistrano Ste 15 San Juan Capistrano CA 92675-3212 Ph: (310) 614-1637 |
| NPI Number | 1215440086 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215440086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC44747 (California) | Primary |
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