Organization
STEPPING FORWARD COUNSELING CENTER, LLC
Active
Other names
SFCC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY PEDNEAULT M.D. (DIRECTOR)
(949) 529-4050
Entity
Organization
Contact information
Practice address
15375 BARRANCA PKWY, UNIT B101, IRVINE, CA 92618-2217
(949) 333-1209
(949) 333-1208
Mailing address
15375 BARRANCA PKWY, UNIT B101, IRVINE, CA 92618-2217
(949) 333-1209
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
12/08/2016
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