| Tonya Octave, Lcsw, Prof Corp | |
|
237 S Lakeview Ave Ste A Placentia CA 92870-6756 | |
| (714) 705-0418 | |
| Not Available |
| Full Name | Tonya Octave, Lcsw, Prof Corp |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 237 S Lakeview Ave Ste A, Placentia, California |
| Authorized Official Name and Position | Tonya Octave (LCSW/ PROVIDER) |
| Authorized Official Contact | 3103878164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya Octave, Lcsw, Prof Corp 237 S Lakeview Ave Ste A Placentia CA 92870-6756 Ph: (714) 705-0418 | Tonya Octave, Lcsw, Prof Corp 237 S Lakeview Ave Ste A Placentia CA 92870-6756 Ph: (714) 705-0418 |
| NPI Number | 1821607771 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 07/27/2020 |
| Certification Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821607771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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