| Orcutt Marriage And Family Counseling, Inc | |
|
1125 East Clark Ave Suite A3 #4 Santa Maria CA 93455 | |
| (805) 720-4533 | |
| Not Available |
| Full Name | Orcutt Marriage And Family Counseling, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1125 East Clark Ave Suite A3 #4, Santa Maria, California |
| Authorized Official Name and Position | Ana Champagne (OWNER) |
| Authorized Official Contact | 8057204533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orcutt Marriage And Family Counseling, Inc 1125 E Clark Ave Ste A3 Santa Maria CA 93455-5153 Ph: (805) 720-4533 | Orcutt Marriage And Family Counseling, Inc 1125 East Clark Ave Suite A3 #4 Santa Maria CA 93455 Ph: (805) 720-4533 |
| NPI Number | 1881439974 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Medicare PECOS PAC ID | 6103351408 |
|---|---|
| Medicare Enrollment ID | O20241122003875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881439974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Ana Patricia Champagne |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225234685 PECOS PAC ID: 5890220198 Enrollment ID: I20241122003947 |
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