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So Cal Outpatient
Addiction (Substance Use Disorder) Counselor in Tustin, California
NPI 1659750974

So Cal Outpatient is an Addiction (Substance Use Disorder) Counselor based in Anaheim, CA and is specialized in Addiction (Substance Use Disorder). So Cal Outpatient practices in Tustin, CA. The NPI Number for So Cal Outpatient is 1659750974 and holds a License No. (California).

The current practice location address for So Cal Outpatient is 17671 Irvine Blvd, Tustin, CA and can be reached out via phone at 714-381-0432.

Location: 17671 Irvine Blvd, Tustin, CA, 92805-4420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659750974
Provider Name
So Cal Outpatient
Credential
Provider Entity Type
Organization
Address
17671 Irvine Blvd, Tustin, CA, 92805-4420
Phone Number
714-381-0432
Fax Number
Provider Enumeration Date
05/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17671 Irvine Blvd
City
Tustin
State
California
Zip
92780-3178
Phone Number
714-381-0432
Fax Number
person
Provider Business Mailing Address Details
Address
17671 Irvine Blvd
City
Tustin
State
California
Zip
92780-3178
Phone Number
714-381-0432
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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