Provider Demographics
NPI:1720263643
Name:FAMILY ASSESSMENT COUNSELING & EDUCATION SERVICES
Entity Type:Organization
Organization Name:FAMILY ASSESSMENT COUNSELING & EDUCATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:K
Authorized Official - Last Name:O'CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:714-879-9616
Mailing Address - Street 1:505 E COMMONWEALTH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-2020
Mailing Address - Country:US
Mailing Address - Phone:714-879-9616
Mailing Address - Fax:714-879-2041
Practice Address - Street 1:505 E COMMONWEALTH AVE STE 200
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2020
Practice Address - Country:US
Practice Address - Phone:714-879-9616
Practice Address - Fax:714-879-2041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable