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Organization
PREPARE TO CHANGE CHILD AND FAMILY COUNSELING
Active
Organization
PREPARE TO CHANGE CHILD AND FAMILY COUNSELING
Active
Parent organization
PREPARE TO CHANGE, A PSYCHOLOGY CORPORATION
Other names
PREPARE TO CHANGE, A PSYCHOLOGY CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREPARE TO CHANGE, A PSYCHOLOGY CORPORATION
Authorized official
KANEEZA LAFIR PHD (DOCTOR/DIRECTOR)
(562) 773-3044
Entity
Organization
Contact information
Practice address
222 W MAIN ST STE 101, TUSTIN, CA 92780-7711
(562) 773-3044
Mailing address
222 W MAIN ST STE 101, TUSTIN, CA 92780-7711
(562) 773-3044
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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