For Marriage Family And Child Counseling | |
3355 Via Lido # 205 Newport Beach CA 92663 | |
(949) 723-0338 | |
(949) 458-0904 |
Full Name | For Marriage Family And Child Counseling |
---|---|
Speciality | Marriage & Family Therapist |
Location | 3355 Via Lido, Newport Beach, California |
Authorized Official Name and Position | Patricia Dianne Allen Shanahan (DIRECTOR FOR MARRIAGE FAMILY AND CH) |
Authorized Official Contact | 9497230338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
For Marriage Family And Child Counseling 3355 Via Lido # 205 Newport Beach CA 92663-3960 Ph: (949) 723-0338 | For Marriage Family And Child Counseling 3355 Via Lido # 205 Newport Beach CA 92663 Ph: (949) 723-0338 |
NPI Number | 1912034216 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 06/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912034216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 6801 (California) | Primary |
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