| Unbridled Chances Psychotherapy Professional Corporation | |
|
314 S Prospect Ave Apt 3 Redondo Beach CA 90277-3552 | |
| (310) 930-0967 | |
| Not Available |
| Full Name | Unbridled Chances Psychotherapy Professional Corporation |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 314 S Prospect Ave Apt 3, Redondo Beach, California |
| Authorized Official Name and Position | Kristen Yule (OWNER/PRESIDENT) |
| Authorized Official Contact | 3109300967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unbridled Chances Psychotherapy Professional Corporation 2108 N St Ste N Sacramento CA 95816-5712 Ph: (310) 929-8789 | Unbridled Chances Psychotherapy Professional Corporation 314 S Prospect Ave Apt 3 Redondo Beach CA 90277-3552 Ph: (310) 930-0967 |
| NPI Number | 1790503209 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790503209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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