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Organization
PROGENY MENTAL & BEHAVIORAL HEALTH
Active
Organization
PROGENY MENTAL & BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CAPRETZ LCSW (VICE PRESIDENT)
(949) 689-3604
Entity
Organization
Contact information
Practice address
17782 COWAN STE A, IRVINE, CA 92614-6041
(949) 722-7118
(949) 722-7119
Mailing address
17782 COWAN STE A, IRVINE, CA 92614-6041
(949) 722-7118
(949) 722-7119
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170002122
BUSINESS LICENSE
CA
Enumeration date
08/31/2017
Last updated
07/21/2022
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