| South County Psychotherapy | |
|
28281 Crown Valley Pkwy Ste 225 Laguna Niguel CA 92677-1483 | |
| (949) 916-5060 | |
| (949) 916-5075 |
| Full Name | South County Psychotherapy |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 28281 Crown Valley Pkwy Ste 225, Laguna Niguel, California |
| Authorized Official Name and Position | Paul M. Fick (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 9499165060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Psychotherapy 28281 Crown Valley Pkwy Ste 225 Laguna Niguel CA 92677-1483 Ph: (949) 916-5060 | South County Psychotherapy 28281 Crown Valley Pkwy Ste 225 Laguna Niguel CA 92677-1483 Ph: (949) 916-5060 |
| NPI Number | 1770735490 |
|---|---|
| Provider Enumeration Date | 10/13/2008 |
| Last Update Date | 10/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770735490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 12618 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | PSY 18298 (California) | Secondary |
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