| Associated Christian Therapy Services A Marriage Family & Child | |
|
41765 12th St W Ste D Palmdale CA 93551-1422 | |
| (661) 940-4861 | |
| (661) 942-4511 |
| Full Name | Associated Christian Therapy Services A Marriage Family & Child |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 41765 12th St W Ste D, Palmdale, California |
| Authorized Official Name and Position | Richard Olson (OWNER) |
| Authorized Official Contact | 6619404861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Christian Therapy Services A Marriage Family & Child 41765 12th St W Ste D Palmdale CA 93551-1422 Ph: (661) 940-4861 | Associated Christian Therapy Services A Marriage Family & Child 41765 12th St W Ste D Palmdale CA 93551-1422 Ph: (661) 940-4861 |
| NPI Number | 1457422552 |
|---|---|
| Provider Enumeration Date | 11/11/2006 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457422552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC 27410 (California) | Secondary |
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