Individual
BRIDGETTE COLWELL ATALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
629 CAMINO DE LOS MARES, STE 207A, SAN CLEMENTE, CA 92673-2832
(949) 228-9080
(844) 602-4623
Mailing address
629 CAMINO DE LOS MARES, STE 207A, SAN CLEMENTE, CA 92673-2832
(949) 228-9080
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY 26225
CA
Other
Enumeration date
06/16/2011
Last updated
01/30/2017
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