Organization
FULLERTON COUNSELING AND MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE ANNE PETRIE M.D. (PRESIDENT)
(714) 990-0700
Entity
Organization
Contact information
Practice address
2228 N STATE COLLEGE BLVD, FULLERTON, CA 92831-1361
(714) 990-0700
(714) 990-0142
Mailing address
2228 N STATE COLLEGE BLVD, FULLERTON, CA 92831-1361
(714) 990-0700
(714) 990-0142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PSY15282
CA
101YM0800X
Mental Health Counselor
PSY6172
CA
103TP0016X
Prescribing (Medical) Psychologist
Primary
C38832
CA
106H00000X
Marriage & Family Therapist
ML012201
CA
Other
Enumeration date
02/14/2007
Last updated
03/26/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us