Providence Community Services
NPI #1821306309 in Los Alamitos, California
Provider Information
- NPI Number
- 1821306309
- Entity Type
- Organization
- Organization Name
- Providence Community Services
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 19, 2010
- Last Updated
- Sep 19, 2010
Practice Location
- Address
- 4281 KATELLA AVE STE 201
- City
- Los Alamitos
- State
- California
- ZIP Code
- 90720-6509
- Phone
- (562) 467-5440
Authorized Official
- Name
- NIKITA DAWN OKUONGHA
- Title
- MENTAL HEALTH INTERN
- Phone
- (562) 396-8153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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