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Organization
FREE AT HEART ONLINE THERAPY LICENSED CLINICAL SOCIAL WORKER PC
Active
Organization
FREE AT HEART ONLINE THERAPY LICENSED CLINICAL SOCIAL WORKER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL COURTER LCSW (CEO)
(530) 591-5915
Entity
Organization
Contact information
Practice address
140 E COMMONWEALTH AVE STE 208, FULLERTON, CA 92832-1905
(530) 591-5915
Mailing address
1237 MOCKING BIRD LN, ECLECTIC, AL 36024-6368
(530) 591-5915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
02/12/2024
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