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Organization
PSYCHHEUROLOGY ASSOCIATES
Active
Organization
PSYCHHEUROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CASEY PHD CADACII CEDS (DIRECTOR)
(714) 904-3750
Entity
Organization
Contact information
Practice address
307 E AVENIDA CORDOBA, SAN CLEMENTE, CA 92672-2314
(714) 904-3750
Mailing address
307 E AVENIDA CORDOBA, SAN CLEMENTE, CA 92672-2314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A2000105
CA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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