Organization
CENTER FOR EVIDENCE BASED TREATMENT
Active
Other names
Center for Evidence Based Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MYERS LPCC (EXECUTIVE DIRECT)
(310) 770-7315
Entity
Organization
Contact information
Practice address
14181 YORBA ST STE 206, TUSTIN, CA 92780-2055
(310) 770-7315
Mailing address
14181 YORBA ST STE 206, TUSTIN, CA 92780-2055
(310) 770-7315
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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