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Organization
FULLER PSYCHOLOGICAL AND FAMILY SERVICES
Active
Organization
FULLER PSYCHOLOGICAL AND FAMILY SERVICES
Active
Parent organization
FULLER THEOLOGICAL SEMINARY
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULLER THEOLOGICAL SEMINARY
Authorized official
IRENE RAPP LMFT (DIRECTOR OF TRAINING)
(626) 584-5569
Entity
Organization
Contact information
Practice address
180 N OAKLAND AVE FL 2, PASADENA, CA 91101-1714
(626) 584-5555
Mailing address
180 N OAKLAND AVE FL 2, PASADENA, CA 91101-1714
(626) 584-5555
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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