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Organization

ALLE HERZ PSYCHOTHERAPY, APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YASAMIN FARHAD LMFT, PHD (EXECUTIVE DIRECTOR)
(949) 293-6249
Entity
Organization

Contact information

Practice address
451 W LAMBERT RD STE 212, BREA, CA 92821-3920
(949) 293-6249
Mailing address
1407 PONDEROSA AVE, FULLERTON, CA 92835-2036
(949) 293-6249

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
10/30/2020
Last updated
09/23/2024
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