Acacia Psychological Corporation
Psychologist in Irvine, CA. Organization (NPI-2).
NPI number1770148827
StatusActive
Last updated in NPPESMay 3, 2019
Details
- NPI
- 1770148827
- Entity type
- Organization (NPI-2)
- Legal business name
- Acacia Psychological Corporation
- Organization subpart
- Yes
- Enumeration date
- May 3, 2019
- Last updated
- May 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Other names
- Acacia Counseling & Wellness (Doing Business As)
Practice location
4255 Campus Dr Ste A245Irvine, CA 92612-8630
Phone 888-699-4873 · Fax 805-472-6099
Mailing address
281 Magnolia Ave Ste 300Goleta, CA 93117-3608
Phone 805-472-6099 · Fax 805-472-6099
Authorized official
Jess Rodriguez
Director Of Business Services
8054726099
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