Holistic Psychotherapy INC
Counselor, Mental Health in Lake Forest, CA. Organization (NPI-2).
NPI number1316709652
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1316709652
- Entity type
- Organization (NPI-2)
- Legal business name
- Holistic Psychotherapy INC
- Organization subpart
- No
- Enumeration date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
23331 El Toro RoadSuite 208
Lake Forest, CA 92630
Phone 949-463-2515 · Fax 949-484-8931
Mailing address
2149 Ronda GranadaUnit A
Laguna Woods, CA 92637
Phone 949-463-2515 · Fax 949-484-8931
Authorized official
Mohammad Gezerseh
Manager/Owner
9494632515
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