| Orange County Psychotherapy Associates, Inc. | |
|
17821 E. 17th St. #260 Tustin CA 92780 | |
| (714) 730-7846 | |
| Not Available |
| Full Name | Orange County Psychotherapy Associates, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 17821 E. 17th St., Tustin, California |
| Authorized Official Name and Position | Cheryl Ann Farole-roman (DIRECTOR, CFO) |
| Authorized Official Contact | 7147307846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange County Psychotherapy Associates, Inc. 17821 E. 17th St. #260 Tustin CA 92780 Ph: (714) 730-7846 | Orange County Psychotherapy Associates, Inc. 17821 E. 17th St. #260 Tustin CA 92780 Ph: (714) 730-7846 |
| NPI Number | 1669722831 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 09/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669722831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC36528 (California) | Primary |
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