Provider / Organization | NPI | Date Certified |
---|---|---|
AYSIN KOCA | 1346962198 | 2022-09-16 |
Aysin Koca is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1346962198. Registration indicates Aysin Koca is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Aysin Koca AMFT |
Practice Office Address | 2464 SLEW OF GOLD CT PERRIS, CA US |
Practice Office Telephone | 9519404928 |
Mailing Address | 2464 SLEW OF GOLD CT PERRIS, CA 925712546 US |
Business Telephone | 9519404928 |
Address | City / State | Phone / Fax |
---|---|---|
2464 Slew Of Gold Ct | Perris, CA 925712546 | 9519404928 |
Code | Practice | License No State |
---|---|---|
106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 129550
CA |
193400000X SING | Group Code |