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Organization
ILLUMINATE PSYCHOLOGICAL SERVICES, PC
Active
Organization
ILLUMINATE PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LABEEB (PARTNER)
(949) 373-3640
Entity
Organization
Contact information
Practice address
2082 MICHELSON DR STE 215-216, IRVINE, CA 92612-1212
(562) 787-9911
Mailing address
2082 MICHELSON DR STE 215-216, IRVINE, CA 92612-1212
(562) 787-9911
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
05/14/2021
Last updated
05/28/2021
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