| Trisha Church License Professional Clinical Counselor | |
|
330 Park Ave Ste 7 Laguna Beach CA 92651-2352 | |
| (949) 230-3123 | |
| Not Available |
| Full Name | Trisha Church License Professional Clinical Counselor |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 330 Park Ave Ste 7, Laguna Beach, California |
| Authorized Official Name and Position | Trisha Church (OWNER/PRESIDENT) |
| Authorized Official Contact | 9492303123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trisha Church License Professional Clinical Counselor Po Box 1514 Laguna Beach CA 92652-1514 Ph: (949) 230-3123 | Trisha Church License Professional Clinical Counselor 330 Park Ave Ste 7 Laguna Beach CA 92651-2352 Ph: (949) 230-3123 |
| NPI Number | 1982421640 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982421640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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