| Roots Psychological Group, Pc | |
|
3939 Atlantic Ave Ste 102 Long Beach CA 90807-3535 | |
| (562) 471-7710 | |
| Not Available |
| Full Name | Roots Psychological Group, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3939 Atlantic Ave Ste 102, Long Beach, California |
| Authorized Official Name and Position | Diana Kang (PRESIDENT) |
| Authorized Official Contact | 5624717710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Psychological Group, Pc 3939 Atlantic Ave Ste 102 Long Beach CA 90807-3535 Ph: (562) 471-7710 | Roots Psychological Group, Pc 3939 Atlantic Ave Ste 102 Long Beach CA 90807-3535 Ph: (562) 471-7710 |
| NPI Number | 1396522967 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396522967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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