IDENTICORP
Mental Health at La Paz Rd, San Juan Capistrano, CA

License number
California MFC46701
Category
Mental Health
Type
Mental Health
License number
California MFC46277
Category
Mental Health
Type
Mental Health
Owner
Name: MR. JAMES ROBERT MOLTER M.F.T.
Title: EXECUTIVE VICE PRESIDENT
Phone: (949) 742-0669
Address
Address 2
27001 La Paz Rd STE 401, San Juan Capistrano, CA 92691
19389 Live Oak Canyon Rd, Trabuco Canyon, CA 92679
National Provider ID: 1528404316
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about IDENTICORP at bizstanding.com

IDENTICORP

Trabuco Canyon, CA

Industry:
Nonclassifiable Establishments
Registration:
Oct 5, 1981
Addresses:
19389 Live Oak Cyn Rd, Trabuco Canyon, CA 92679 (Physical)
PO Box 320, Trabuco Canyon, CA 92678
Po 320, Trabuco Canyon, CA 92679
State ID:
C1056437
Business type:
Articles of Incorporation
Presidents:
James Robert Molter (President),Betty Molter President, inactive,Betty Nethery President, inactive
Agent:
James Molter,Trabuco Canyon, CA 92679 (Physical)

Identicorp

27001 Ln Paz Rd, San Juan Capistrano, CA 92691

Status:
Inactive
Industry:
Nonclassifiable Establishments
Doing business as:
Molter Counseling

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