| Relationship And Marriage Counseling Center Of Oc | |
|
1400 Bristol St N Ste 245b Newport Beach CA 92660-2965 | |
| (949) 220-3211 | |
| Not Available |
| Full Name | Relationship And Marriage Counseling Center Of Oc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1400 Bristol St N Ste 245b, Newport Beach, California |
| Authorized Official Name and Position | Casey Truffo (OWNER) |
| Authorized Official Contact | 9492203211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Relationship And Marriage Counseling Center Of Oc 27472 Portola Pkwy Ste 205-200 Foothill Ranch CA 92610-2853 Ph: (949) 220-3211 | Relationship And Marriage Counseling Center Of Oc 1400 Bristol St N Ste 245b Newport Beach CA 92660-2965 Ph: (949) 220-3211 |
| NPI Number | 1346725702 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 10/01/2018 |
| Medicare PECOS PAC ID | 9335513258 |
|---|---|
| Medicare Enrollment ID | O20230316000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346725702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Art Imla |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093020836 PECOS PAC ID: 6204289333 Enrollment ID: I20240125000862 |
| Provider Name | Ann Michelle Watanabe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437470390 PECOS PAC ID: 7911350210 Enrollment ID: I20240201003660 |
| Provider Name | Erika Hadinata |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033765193 PECOS PAC ID: 2466897996 Enrollment ID: I20240223003087 |
| Provider Name | Marni Lynn Bregman Reinhardt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205929932 PECOS PAC ID: 3971945585 Enrollment ID: I20240529000550 |
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