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Organization
BBK PSYCHOTHERAPEUTIC SERVICES, INC.
Active
Organization
BBK PSYCHOTHERAPEUTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BAUTZER LMFT (PRESIDENT)
(714) 543-0483
Entity
Organization
Contact information
Practice address
501 N GOLDEN CIRCLE DR, SUITE 100, SANTA ANA, CA 92705-3913
(714) 543-0483
(714) 543-0483
Mailing address
501 N GOLDEN CIRCLE DR, SUITE 100, SANTA ANA, CA 92705-3913
(714) 543-0483
(714) 543-0483
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC40764
CA
Other
Enumeration date
03/23/2011
Last updated
09/12/2012
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