| Ace Individual And Family Therapy | |
|
5000 Birch Street West Tower, Suite 306 Newport Beach CA 92660-2127 | |
| (949) 891-2760 | |
| Not Available |
| Full Name | Ace Individual And Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5000 Birch Street, Newport Beach, California |
| Authorized Official Name and Position | Enrique Alexander Campo (THERAPIST) |
| Authorized Official Contact | 9498912760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Individual And Family Therapy Po Box 11253 Santa Ana CA 92711-1253 Ph: (714) 975-0134 | Ace Individual And Family Therapy 5000 Birch Street West Tower, Suite 306 Newport Beach CA 92660-2127 Ph: (949) 891-2760 |
| NPI Number | 1336774470 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336774470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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