| Opus Counseling Services | |
|
2698 Dawson Ave Ste G Signal Hill CA 90755-2066 | |
| (562) 619-9700 | |
| Not Available |
| Full Name | Opus Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 2698 Dawson Ave Ste G, Signal Hill, California |
| Authorized Official Name and Position | Kathleen Villagomez (ADMINISTRATOR) |
| Authorized Official Contact | 5626199700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opus Counseling Services 3553 Atlantic Ave # 670 Long Beach CA 90807-5606 Ph: () - | Opus Counseling Services 2698 Dawson Ave Ste G Signal Hill CA 90755-2066 Ph: (562) 619-9700 |
| NPI Number | 1760023964 |
|---|---|
| Provider Enumeration Date | 09/30/2019 |
| Last Update Date | 06/12/2023 |
| Certification Date | 05/05/2023 |
| Medicare PECOS PAC ID | 7214394030 |
|---|---|
| Medicare Enrollment ID | O20230608002564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760023964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathleen Villagomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144309352 PECOS PAC ID: 4587021308 Enrollment ID: I20230613002794 |
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