Organization
FAMILY MATTERS COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S. DEPAOLA LMFT (PRESIDENT/CEO)
(714) 932-9641
Entity
Organization
Contact information
Practice address
746 E CHAPMAN AVE, ORANGE, CA 92866-1621
(714) 932-9641
Mailing address
746 E CHAPMAN AVE, ORANGE, CA 92866-1621
(714) 932-9641
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC40001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750636874
BLUE SHIELD OF CALIFORNIA
CA
05
—
1750636874
—
CA
Enumeration date
06/02/2015
Last updated
06/02/2015
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