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Organization
THERAQ, INC
Active
Organization
THERAQ, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE MOORE PSYD (OFFICER OF THE BOARD OF DIRECTORS)
(714) 922-0720
Entity
Organization
Contact information
Practice address
17752 SKY PARK CIRCLE, SUITE 245, IRVINE, CA 92614
(714) 922-0720
Mailing address
20409 YORBA LINDA BLVD STE 237, YORBA LINDA, CA 92886-3042
(714) 922-0720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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