| Hands Extended | |
|
1151 Dove St 285 Newport Beach CA 92660-2840 | |
| (949) 261-5765 | |
| Not Available |
| Full Name | Hands Extended |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1151 Dove St, Newport Beach, California |
| Authorized Official Name and Position | Gregory Stewart Mimm (SECRETARY TREASURER) |
| Authorized Official Contact | 9492615765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hands Extended 1151 Dove St 285 Newport Beach CA 92660-2840 Ph: (949) 261-5765 | Hands Extended 1151 Dove St 285 Newport Beach CA 92660-2840 Ph: (949) 261-5765 |
| NPI Number | 1225175086 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225175086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 25700 (California) | Primary |
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