Fullerton Counseling and Medical Group, INC
NPI #1821131673 in Fullerton, California
Provider Information
- NPI Number
- 1821131673
- Entity Type
- Organization
- Organization Name
- Fullerton Counseling and Medical Group, INC
- Primary Specialty
- Psychologist - Prescribing (Medical)
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Mar 26, 2015
Practice Location
- Address
- 2228 N STATE COLLEGE BLVD
- City
- Fullerton
- State
- California
- ZIP Code
- 92831-1361
- Phone
- (714) 990-0700
Authorized Official
- Name
- JUSTINE ANNE PETRIE, M.D.
- Title
- PRESIDENT
- Phone
- (714) 990-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Marriage & Family Therapist |
| Psychologist - Prescribing (Medical) — Prescribing (Medical) |
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