Organization · Type 2 NPI
Good Shepherd Counseling Clinic
Mental Health Counselor · Tustin, CA
NPI number
1467763466
Active
Practice location
17461 Irvine Blvd, Suite D
Tustin, CA 92780-3034
Mailing address
30713 Riverside Dr, Suite 203
Lake Elsinore, CA 92530-4714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MFC39965 (CA) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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- Michelle JimenezMental Health Counselor Tustin, CA NPI 1356943146
- Golden State Marrriage and Family Therapy A Professional CorporationMental Health Counselor Tustin, CA NPI 1750040499
- Deanne Brown Professional Clinical Counselor PCMental Health Counselor Tustin, CA NPI 1821895707
About NPI 1467763466
Good Shepherd Counseling Clinic's National Provider Identifier is 1467763466, issued on Jun 24, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tustin, CA. The record was last updated on Jun 24, 2010.