| Stephanie Flores Licensed Clinical Social Worker Inc. | |
|
14751 Plaza Dr Ste C Tustin CA 92780-2773 | |
| (714) 300-8063 | |
| Not Available |
| Full Name | Stephanie Flores Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14751 Plaza Dr Ste C, Tustin, California |
| Authorized Official Name and Position | Stephanie Flores (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7143008063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Flores Licensed Clinical Social Worker Inc. 14751 Plaza Dr Ste C Tustin CA 92780-2773 Ph: (714) 300-8063 | Stephanie Flores Licensed Clinical Social Worker Inc. 14751 Plaza Dr Ste C Tustin CA 92780-2773 Ph: (714) 300-8063 |
| NPI Number | 1841031531 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 06/29/2024 |
| Certification Date | 06/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841031531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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