Organization
GARY J. SCHUMMER, APC
Active
Other names
ADD Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL YVONNE DU BRUYNE (CLINIC ADMINISTRATOR)
(949) 272-3870
Entity
Organization
Contact information
Practice address
27725 SANTA MARGARITA PKWY, SUITE 215, MISSION VIEJO, CA 92691-6704
(949) 272-3870
(949) 951-2802
Mailing address
27725 SANTA MARGARITA PKWY, SUITE 215, MISSION VIEJO, CA 92691-6704
(949) 272-3870
(949) 951-2802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 12832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY 12832
CLINICAL PSYCH LICENSE
CA
Enumeration date
06/21/2006
Last updated
08/22/2020
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