| The Self Center | |
|
18671 Allegheny Drive Santa Ana CA 92705-2104 | |
| (714) 997-9600 | |
| (714) 997-9607 |
| Full Name | The Self Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 18671 Allegheny Drive, Santa Ana, California |
| Authorized Official Name and Position | Robert Douglas Simpson (CEO) |
| Authorized Official Contact | 7149979600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Self Center 18671 Allegheny Drive Santa Ana CA 92705-2104 Ph: (714) 997-9600 | The Self Center 18671 Allegheny Drive Santa Ana CA 92705-2104 Ph: (714) 997-9600 |
| NPI Number | 1174635460 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174635460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC8859 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC8858 (California) | Secondary |
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