MRS. NICOLE ANN CLELLAND


Address: 23832 Rockfield Blvd Ste 120, Lake Forest, CA 92630-2870
Phone: 9494154489

MRS. NICOLE ANN CLELLAND (NPI# 1730542382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730542382
Entity Type Individual
Full Name MRS. NICOLE ANN CLELLAND
Other Name NICOLE ANN COSTA
Practice Address 23832 Rockfield Blvd Ste 120
Lake Forest
CA 92630-2870
Practice Telephone 9494154489
Mailing Telephone 9494154489
Enumeration Date 2016-03-31
Last Update Date 2018-10-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
101251 CA Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist 101251 CA Behavioral Health & Social Service Providers

Office Location

Street Address 23832 ROCKFIELD BLVD STE 120
City LAKE FOREST
State CA
Zip Code 92630-2870

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770813743 Tiffany Renee Agra Marriage & Family Therapist 23832 Rockfield Blvd Ste 120, Lake Forest, CA 92630-2870 2010-01-13
1356889596 Kimberly Brassett Marriage & Family Therapist 23832 Rockfield Blvd Ste 120, Lake Forest, CA 92630-2870 2017-02-08

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NPI Name Taxonomy Address Enumeration
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1992368930 James Daniel Ticorat Pharmacist 25051 Calle Arenal, Lake Forest, CA 92630 2019-04-16
1770058349 Tara L Anderson Physician Assistant 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 2018-10-10
1659846855 Song W. Jung. Dds. Inc Dentist 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 2018-10-04
1326520867 Katherine Marie Billings Speech-Language Pathologist 25454 Navajo, Lake Forest, CA 92630 2018-08-31
1205339611 Orange County Physiotherapy Services, P.C. Physical Therapist 22821 Aspan St., #100, Lake Forest, CA 92630 2018-03-12
1295245587 Tara Rasta Chiropractor 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 2017-10-02
1750800132 Jessica Aguilar Marriage & Family Therapist 21153 Calle De Paseo, Lake Forest, CA 92630 2017-09-16
1275072589 Anhtu Wu Pharmacist 23182 Vista Way, Lake Forest, CA 92630 2017-02-20
Find all providers in zip 92630

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831655422 Jacob Moon Marriage & Family Therapist 23331 El Toro Rd Ste 208, Lake Forest, CA 92630-4883 2019-02-19
1619479979 Debra Woog Marriage & Family Therapist 23591 El Toro Rd Ste 163, Lake Forest, CA 92630-4765 2018-03-02
1750800132 Jessica Aguilar Marriage & Family Therapist 21153 Calle De Paseo, Lake Forest, CA 92630 2017-09-16
1851839609 Adelina Velasquez Marriage & Family Therapist 23361 El Toro Road, Suite 215, Lake Forest, CA 92630-6921 2017-02-01
1053742635 Elina Kamrany Marriage & Family Therapist 23591 El Toro Rd Ste 207, Lake Forest, CA 92630-4700 2013-12-06
1023312295 Anne Louise Martin Marriage & Family Therapist 23861 El Toro Rd, 7th Floor, Lake Forest, CA 92630-4732 2011-01-03
1225346141 Darcy Robert Greene Marriage & Family Therapist 24551 Raymond Way Ste 286, Lake Forest, CA 92630-4495 2010-09-14
1487969267 Yu-tung Sharon Lin Marriage & Family Therapist 100 Saunders Rd, Suite 150, Lake Forest, IL 60045-2502 2010-08-17
1770813743 Tiffany Renee Agra Marriage & Family Therapist 23832 Rockfield Blvd Ste 120, Lake Forest, CA 92630-2870 2010-01-13
1922231620 Nadia Teymoorian Marriage & Family Therapist 23591 El Toro Rd Ste 294, Lake Forest, CA 92630-4767 2009-08-27
Find all providers in LAKE FOREST

Competitor

Search similar providers

City LAKE FOREST
Zip Code 92630

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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