| Richard Madrigal Counseling 360 | |
|
12072 Saint Mark St Garden Grove CA 92845-1615 | |
| (310) 849-9495 | |
| Not Available |
| Full Name | Richard Madrigal Counseling 360 |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12072 Saint Mark St, Garden Grove, California |
| Authorized Official Name and Position | Richard Thomas Madrigal (OWNER) |
| Authorized Official Contact | 3108499495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Madrigal Counseling 360 12072 Saint Mark St Garden Grove CA 92845-1615 Ph: (310) 849-9495 | Richard Madrigal Counseling 360 12072 Saint Mark St Garden Grove CA 92845-1615 Ph: (310) 849-9495 |
| NPI Number | 1639764491 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 03/03/2021 |
| Certification Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639764491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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