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Organization
SOUTH COAST THERAPISTS, INC.
Active
Organization
SOUTH COAST THERAPISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH RHEA MFCC (OWNER)
(714) 899-4005
Entity
Organization
Contact information
Practice address
16480 HARBOR BLVD, SUITE 104, FOUNTAIN VALLEY, CA 92708-1361
(714) 899-4005
(714) 899-4275
Mailing address
PO BOX 4166, HUNTINGTON BEACH, CA 92605-4166
(714) 899-4005
(714) 899-4275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A63583
CA
101YM0800X
Mental Health Counselor
G28225
CA
101YM0800X
Mental Health Counselor
G47617
CA
101YM0800X
Mental Health Counselor
MFC12680
CA
101YM0800X
Mental Health Counselor
Primary
MFC14233
CA
101YM0800X
Mental Health Counselor
MFC39025
CA
101YM0800X
Mental Health Counselor
PSY12485
CA
101YM0800X
Mental Health Counselor
PSY9811
CA
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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