Provider Demographics
NPI:1366521866
Name:ASSOCIATESINCOUNSELING & MEDIATION
Entity type:Organization
Organization Name:ASSOCIATESINCOUNSELING & MEDIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:WILBUR
Authorized Official - Last Name:SOMMER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:714-978-1090
Mailing Address - Street 1:1820 W ORANGEWOOD AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2043
Mailing Address - Country:US
Mailing Address - Phone:714-978-1090
Mailing Address - Fax:714-978-1087
Practice Address - Street 1:1820 W ORANGEWOOD AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2043
Practice Address - Country:US
Practice Address - Phone:714-978-1090
Practice Address - Fax:714-978-1087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300133AN251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health