| Colvin Individual And Family Therapy | |
|
2900 Bristol St Suite A207 Costa Mesa CA 92626-5981 | |
| (949) 290-4922 | |
| Not Available |
| Full Name | Colvin Individual And Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2900 Bristol St, Costa Mesa, California |
| Authorized Official Name and Position | Timothy Harper Colvin (PRESIDENT) |
| Authorized Official Contact | 9492904922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colvin Individual And Family Therapy 2900 Bristol St Suite A207 Costa Mesa CA 92626-5981 Ph: (949) 290-4922 | Colvin Individual And Family Therapy 2900 Bristol St Suite A207 Costa Mesa CA 92626-5981 Ph: (949) 290-4922 |
| NPI Number | 1972834299 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 01/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972834299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 44052 (California) | Primary |
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