Organization
EMBRACE COUNSELING AND RESOURCE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY G. MADRIGAL PHD (EXECUTIVE DIRECTOR)
(714) 504-8840
Entity
Organization
Contact information
Practice address
16152 BEACH BLVD STE 131, HUNTINGTON BEACH, CA 92647-3820
(714) 504-8840
(714) 903-3930
Mailing address
16152 BEACH BLVD SUITE 131, HUNTINGTON BEACH, CA 92647
(714) 504-8840
(714) 903-3930
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1246960
CAL OPTIMA
—
Enumeration date
10/13/2017
Last updated
01/16/2018
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