Integration Corporation | |
916 N Western Ave Ste 210 San Pedro CA 90732-2407 | |
(310) 508-9531 | |
(888) 345-6044 |
Full Name | Integration Corporation |
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Speciality | Counselor - Mental Health |
Location | 916 N Western Ave Ste 210, San Pedro, California |
Authorized Official Name and Position | Alica Macgowan (OWNER/FOUNDER) |
Authorized Official Contact | 3105089531 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Integration Corporation 916 N Western Ave Ste 210 San Pedro CA 90732-2407 Ph: (310) 508-9531 | Integration Corporation 916 N Western Ave Ste 210 San Pedro CA 90732-2407 Ph: (310) 508-9531 |
NPI Number | 1033000716 |
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Provider Enumeration Date | 07/11/2025 |
Last Update Date | 07/11/2025 |
Certification Date | 07/11/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033000716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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