Vr Biofeedback Focused Psychotherapy P.c. | |
30131 Town Center Dr Ste 292 Laguna Niguel CA 92677-2086 | |
(949) 391-3849 | |
Not Available |
Full Name | Vr Biofeedback Focused Psychotherapy P.c. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 30131 Town Center Dr Ste 292, Laguna Niguel, California |
Authorized Official Name and Position | Holly Grupe (CEO) |
Authorized Official Contact | 9493913849 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vr Biofeedback Focused Psychotherapy P.c. 21 S Montilla San Clemente CA 92672-6000 Ph: (949) 391-3849 | Vr Biofeedback Focused Psychotherapy P.c. 30131 Town Center Dr Ste 292 Laguna Niguel CA 92677-2086 Ph: (949) 391-3849 |
NPI Number | 1548788144 |
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Provider Enumeration Date | 09/03/2017 |
Last Update Date | 09/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548788144 | NPI | - | NPPES |
1235479395 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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