institution
Good Shepherd Counseling Clinic
Mental Health Counselor in Tustin, California
NPI 1467763466

Good Shepherd Counseling Clinic is a Mental Health Counselor based in Lake Elsinore, CA and is specialized in Mental Health. Good Shepherd Counseling Clinic practices in Tustin, CA. The NPI Number for Good Shepherd Counseling Clinic is 1467763466 and holds a License No. MFC39965 (California).

The current practice location address for Good Shepherd Counseling Clinic is 17461 Irvine Blvd, Tustin, CA and can be reached out via phone at 714-402-0131.

Location: 17461 Irvine Blvd, Tustin, CA, 92530-4714
institution
Provider Profile Details
NPI Number
1467763466
Provider Name
Good Shepherd Counseling Clinic
Credential
Provider Entity Type
Organization
Address
17461 Irvine Blvd, Tustin, CA, 92530-4714
Phone Number
714-402-0131
Fax Number
Provider Enumeration Date
06/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ55205Y 01 CA BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
17461 Irvine Blvd
City
State
Zip
92780-3034
Phone Number
714-402-0131
Fax Number
person
Provider Business Mailing Address Details
Address
17461 Irvine Blvd
City
State
Zip
92780-3034
Phone Number
714-402-0131
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MFC39965 (California)
Definition
Definition to come...
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