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Organization
STEPPING FORWARD GROUP PROFESSIONAL
Active
Organization
STEPPING FORWARD GROUP PROFESSIONAL
Active
Other names
SFCC
Organization subpart
No
Provider details
NPI number
Authorized official
GARY PEDNEAULT MD (MD)
(949) 333-1209
Entity
Organization
Contact information
Practice address
15375 BARRANCA PKWY STE D, IRVINE, CA 92618-2206
(949) 333-1209
(949) 333-1209
Mailing address
15375 BARRANCA PKWY STE A201, IRVINE, CA 92618-2204
(949) 280-9254
(949) 333-1209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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