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23201 Mill Creek Dr Ste 200 Laguna Hills CA 92653-7905 | |
| (949) 460-5320 | |
| (949) 460-5322 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 23201 Mill Creek Dr, Laguna Hills, California |
| Authorized Official Name and Position | Robert Donald Winandy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9494605320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
23201 Mill Creek Dr Ste 200 Laguna Hills CA 92653-7905 Ph: (949) 460-5320 | 23201 Mill Creek Dr Ste 200 Laguna Hills CA 92653-7905 Ph: (949) 460-5320 |
| NPI Number | 1730306424 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730306424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC27432 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | MC23624 (California) | Primary |
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