Organization
ALTA CONNECT CARELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAREN EARN (MANAGER)
(949) 302-9767
Entity
Organization
Contact information
Practice address
2900 BRISTOL ST # 206, COSTA MESA, CA 92626-5981
(949) 302-9767
Mailing address
2900 BRISTOL ST # 206, COSTA MESA, CA 92626-5981
(949) 302-9767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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