institution
Identicorp
Mental Health Counselor in Mission Viejo, California
NPI 1528404316

Identicorp is a Mental Health Counselor based in Trabuco Canyon, CA and is specialized in Mental Health. Identicorp practices in Mission Viejo, CA. The NPI Number for Identicorp is 1528404316 and holds a License No. MFC46701 (California).

The current practice location address for Identicorp is 27001 La Paz Rd Ste 401, Mission Viejo, CA and can be reached out via phone at 949-742-0669 and via fax at 949-858-5431.

Location: 27001 La Paz Rd Ste 401, Mission Viejo, CA, 92679-3037
institution
Provider Profile Details
NPI Number
1528404316
Provider Name
Identicorp
Credential
Provider Entity Type
Organization
Address
27001 La Paz Rd Ste 401, Mission Viejo, CA, 92679-3037
Phone Number
949-742-0669
Fax Number
949-858-5431
Provider Enumeration Date
05/20/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
27001 La Paz Rd Ste 401
City
State
Zip
92691-5502
Phone Number
949-742-0669
Fax Number
949-858-5431
person
Provider Business Mailing Address Details
Address
27001 La Paz Rd Ste 401
City
State
Zip
92691-5502
Phone Number
949-742-0669
Fax Number
949-858-5431
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MFC46701 (California)
Definition
Definition to come...
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