# 4610 PSYCHOTHERAPY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508720863
- **Authorized official:** CONSTANCE E. SHIN LMFT (OWNER/ MARRIAGE FAMILY THERAPIST)
- **Authorized official phone:** (714) 595-7871

## Contact information

- **Practice address:** 13130 ROSE ST, CERRITOS, CA 90703
- **Practice address phone:** (714) 595-7871
- **Mailing address:** 11331 183RD ST \# 179, CERRITOS, CA 90703-5434
- **Mailing address phone:** (714) 595-7871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2025
- **Last updated:** 12/11/2025