| The Center For Psychological And Psychedelic Fami | |
|
242 W Main St Ste 104 Tustin CA 92780-7715 | |
| (949) 705-9811 | |
| Not Available |
| Full Name | The Center For Psychological And Psychedelic Fami |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 242 W Main St Ste 104, Tustin, California |
| Authorized Official Name and Position | Jennifer Stubblefield (LMFT, OWNER) |
| Authorized Official Contact | 9495009513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Psychological And Psychedelic Fami 242 W Main St Ste 104 Tustin CA 92780-7715 Ph: () - | The Center For Psychological And Psychedelic Fami 242 W Main St Ste 104 Tustin CA 92780-7715 Ph: (949) 705-9811 |
| NPI Number | 1447081153 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447081153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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