| Poppy Therapy, A Licensed Clinical Social Worker Pc | |
|
5152 Katella Ave Ste 205 Los Alamitos CA 90720-2846 | |
| (510) 289-0215 | |
| Not Available |
| Full Name | Poppy Therapy, A Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5152 Katella Ave Ste 205, Los Alamitos, California |
| Authorized Official Name and Position | Molly Vasa Bertolucci (OWNER) |
| Authorized Official Contact | 5102890215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poppy Therapy, A Licensed Clinical Social Worker Pc 3045 Rutgers Ave Long Beach CA 90808-3529 Ph: (510) 289-0215 | Poppy Therapy, A Licensed Clinical Social Worker Pc 5152 Katella Ave Ste 205 Los Alamitos CA 90720-2846 Ph: (510) 289-0215 |
| NPI Number | 1659144939 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659144939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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