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Organization
COUNSELING RESOURCE AND EDUCATION CENTER
Active
Organization
COUNSELING RESOURCE AND EDUCATION CENTER
Active
Parent organization
SANDRA FORTE
Other names
Mary Thomas
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANDRA FORTE
Authorized official
DR. JEREMY HANDY MD (MEDICAL DIRECTOR)
(562) 310-9215
Entity
Organization
Contact information
Practice address
21151 S WESTERN AVE STE 146, TORRANCE, CA 90501-1724
(424) 271-7778
(888) 792-6665
Mailing address
21151 S WESTERN AVE STE 146, TORRANCE, CA 90501-1724
(424) 271-7778
(888) 792-6665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265855118
—
CA
01
—
CB246247
MEDICARE
CA
Enumeration date
07/16/2019
Last updated
07/16/2019
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