Mary J. Deane, A Marriage And Family Therapy Corporation | |
1601 Dove St #230 Newport Beach CA 92660-2433 | |
(714) 239-5855 | |
(949) 509-6765 |
Full Name | Mary J. Deane, A Marriage And Family Therapy Corporation |
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Speciality | Community/behavioral Health |
Location | 1601 Dove St, Newport Beach, California |
Authorized Official Name and Position | Mary J. Deane (PRESIDENT) |
Authorized Official Contact | 7142395855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mary J. Deane, A Marriage And Family Therapy Corporation 1601 Dove Street #230 Newport Beach CA 92660-1423 Ph: (714) 239-5855 | Mary J. Deane, A Marriage And Family Therapy Corporation 1601 Dove St #230 Newport Beach CA 92660-2433 Ph: (714) 239-5855 |
NPI Number | 1790157048 |
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Provider Enumeration Date | 10/27/2015 |
Last Update Date | 10/27/2015 |
Identifier | Type | State | Issuer |
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1790157048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MFT20881 (California) | Primary |
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