Provider Demographics
NPI:1821531856
Name:DEBBIE BRISTOL AND ASSOCIATES COUNSELING SERVICES
Entity Type:Organization
Organization Name:DEBBIE BRISTOL AND ASSOCIATES COUNSELING SERVICES
Other - Org Name:COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRISTOL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:714-543-6720
Mailing Address - Street 1:1913 E 17TH ST
Mailing Address - Street 2:SUITE 119
Mailing Address - City:NORTH TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92705-8627
Mailing Address - Country:US
Mailing Address - Phone:714-543-6720
Mailing Address - Fax:714-543-6730
Practice Address - Street 1:1913 E 17TH ST
Practice Address - Street 2:SUITE 119
Practice Address - City:NORTH TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92705-8627
Practice Address - Country:US
Practice Address - Phone:714-543-6720
Practice Address - Fax:714-543-6730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT22036106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty