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Organization
FREEDOM COLLECTIVE THERAPY GROUP
Active
Organization
FREEDOM COLLECTIVE THERAPY GROUP
Active
Other names
Collective Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA MEDINA (OWNER)
(714) 326-3722
Entity
Organization
Contact information
Practice address
22792 CENTRE DR STE 104, LAKE FOREST, CA 92630-6311
(714) 326-3722
Mailing address
22792 CENTRE DR STE 104, LAKE FOREST, CA 92630-6311
(714) 326-3722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/18/2023
Last updated
07/27/2023
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