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Organization
4610 PSYCHOTHERAPY SERVICES, INC.
Active
Organization
4610 PSYCHOTHERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE E. SHIN LMFT (OWNER/ MARRIAGE FAMILY THERAPIST)
(714) 595-7871
Entity
Organization
Contact information
Practice address
13130 ROSE ST, CERRITOS, CA 90703
(714) 595-7871
Mailing address
11331 183RD ST # 179, CERRITOS, CA 90703-5434
(714) 595-7871
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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