The Sober Spot, Llc | |
655 Camino De Los Mares Suite 121 San Clemente CA 92673 | |
(949) 388-5123 | |
Not Available |
Full Name | The Sober Spot, Llc |
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Speciality | Marriage & Family Therapist |
Location | 655 Camino De Los Mares, San Clemente, California |
Authorized Official Name and Position | Alan Balagul (CEO/ PROGRAM DIRECTOR) |
Authorized Official Contact | 7186148044 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Sober Spot, Llc 655 Camino De Los Mares Suite 121 San Clemente CA 92673 Ph: (949) 388-5123 | The Sober Spot, Llc 655 Camino De Los Mares Suite 121 San Clemente CA 92673 Ph: (949) 388-5123 |
NPI Number | 1720479272 |
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Provider Enumeration Date | 02/05/2015 |
Last Update Date | 02/05/2015 |
Identifier | Type | State | Issuer |
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1720479272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 42751 (California) | Primary |
111N00000X | Chiropractor | DC28609 (California) | Secondary |
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