| Eoic Victory | |
|
23547 Moulton Pkwy Ste 201b Laguna Hills CA 92653-1900 | |
| (949) 415-9217 | |
| Not Available |
| Full Name | Eoic Victory |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 23547 Moulton Pkwy Ste 201b, Laguna Hills, California |
| Authorized Official Name and Position | Christiane Forrester (CEO) |
| Authorized Official Contact | 9494159217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eoic Victory 23547 Moulton Pkwy Ste 201b Laguna Hills CA 92653-1900 Ph: (949) 415-9217 | Eoic Victory 23547 Moulton Pkwy Ste 201b Laguna Hills CA 92653-1900 Ph: (949) 415-9217 |
| NPI Number | 1134510159 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134510159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 42751 (California) | Primary |
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