Triple Moon Psychotherapy Collective a Licensed Clinical Social Worker
Triple Moon Psychotherapy Collective a Licensed Clinical Social Worker is a Clinical Social Worker in Garden Grove, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
12371 Lewis St Ste 103Garden Grove, CA 92840-4687
Phone: (949) 868-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1306587837 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Le Reve Renderos — Director · (951) 870-1528 |
| Other names | Triple Moon Psychotherapy Collective; Triple Moon Psychotherapy Collective A Licensed Social Worker Corp |
| NPI enumerated | April 6, 2022 |
| Last updated in NPPES | October 4, 2023 |
| Certification date | October 4, 2023 |
| Mailing address | 12371 Lewis St Ste 103, Garden Grove, CA 92840-4687 |
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