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Organization
ATENCIO / MACLEAN SERVICES, INC.
Active
Organization
ATENCIO / MACLEAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA LOUISE ATENCIO-MACLEAN PSYD (PSYCHOLOGIST)
(949) 444-6741
Entity
Organization
Contact information
Practice address
30250 RANCHO VIEJO RD STE G, SAN JUAN CAPISTRANO, CA 92675-1562
(949) 444-6741
Mailing address
30250 RANCHO VIEJO RD STE G, SAN JUAN CAPISTRANO, CA 92675-1562
(949) 444-6741
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY28555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CB261930
—
CA
Enumeration date
03/20/2018
Last updated
03/20/2018
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