| Teen Therapy Oc | |
|
26040 Acero Ste 113 Mission Viejo CA 92691-2768 | |
| (949) 394-0607 | |
| Not Available |
| Full Name | Teen Therapy Oc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 26040 Acero Ste 113, Mission Viejo, California |
| Authorized Official Name and Position | Lauren Goodman (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 9493940607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teen Therapy Oc 26040 Acero Ste 113 Mission Viejo CA 92691-2768 Ph: (949) 394-0607 | Teen Therapy Oc 26040 Acero Ste 113 Mission Viejo CA 92691-2768 Ph: (949) 394-0607 |
| NPI Number | 1427302587 |
|---|---|
| Provider Enumeration Date | 10/28/2012 |
| Last Update Date | 10/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427302587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 67185 (California) | Primary |
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