Organization
BREAKTHROUGH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TETIA TEREZ HENSON LMFT/LPCC (OWNER)
(562) 264-5917
Entity
Organization
Contact information
Practice address
12821 NEWPORT AVE, TUSTIN, CA 92780
(562) 264-5917
(714) 333-4848
Mailing address
12821 NEWPORT AVE, TUSTIN, CA 92780
(562) 264-5917
(714) 333-4848
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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