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Organization

COMPASS THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSICA BORELLI DONCKELS PHD (CLINICAL DIRECTOR)
(203) 887-8857
Entity
Organization

Contact information

Practice address
4063 BIRCH ST STE 220, NEWPORT BEACH, CA 92660-2241
(949) 229-5708
Mailing address
4063 BIRCH ST STE 220, NEWPORT BEACH, CA 92660-2241
(949) 229-5708

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
106H00000X
Marriage & Family Therapist

Other

Enumeration date
11/16/2023
Last updated
11/16/2023
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