| 4610 Psychotherapy Services, Inc. | |
|
13130 Rose St Cerritos CA 90703 | |
| (714) 595-7871 | |
| Not Available |
| Full Name | 4610 Psychotherapy Services, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 13130 Rose St, Cerritos, California |
| Authorized Official Name and Position | Constance E. Shin (OWNER/ MARRIAGE FAMILY THERAPIST) |
| Authorized Official Contact | 7145957871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4610 Psychotherapy Services, Inc. 11331 183rd St # 179 Cerritos CA 90703-5434 Ph: (714) 595-7871 | 4610 Psychotherapy Services, Inc. 13130 Rose St Cerritos CA 90703 Ph: (714) 595-7871 |
| NPI Number | 1508720863 |
|---|---|
| Provider Enumeration Date | 12/11/2025 |
| Last Update Date | 12/11/2025 |
| Certification Date | 12/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508720863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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