Provider Demographics
NPI:1609652957
Name:ASM PSYCHOTHERAPY & COACHING
Entity Type:Organization
Organization Name:ASM PSYCHOTHERAPY & COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SAAVEDRA-METOYER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:626-250-0861
Mailing Address - Street 1:775 WINDHAM DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-3553
Mailing Address - Country:US
Mailing Address - Phone:626-250-0861
Mailing Address - Fax:
Practice Address - Street 1:220 S INDIAN HILL BLVD STE J
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4929
Practice Address - Country:US
Practice Address - Phone:626-250-0861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty