| Orange County Health Care Agency | |
|
1200 N Main St Santa Ana CA 92701-3640 | |
| (714) 480-6600 | |
| Not Available |
| Full Name | Orange County Health Care Agency |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1200 N Main St, Santa Ana, California |
| Authorized Official Name and Position | Debra Lynn Stout (POST DOC INTERN) |
| Authorized Official Contact | 7144806600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange County Health Care Agency Po Box 3127 Fullerton CA 92834-3127 Ph: () - | Orange County Health Care Agency 1200 N Main St Santa Ana CA 92701-3640 Ph: (714) 480-6600 |
| NPI Number | 1295812303 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295812303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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