| Moxie Family Therapy, Pc | |
|
17772 Irvine Blvd Ste 209 Tustin CA 92780-3234 | |
| (714) 388-6119 | |
| Not Available |
| Full Name | Moxie Family Therapy, Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 17772 Irvine Blvd Ste 209, Tustin, California |
| Authorized Official Name and Position | Melissa Ann Mellon (FOUNDER AND DIRECTOR) |
| Authorized Official Contact | 7143886119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moxie Family Therapy, Pc 17772 Irvine Blvd Ste 209 Tustin CA 92780-3234 Ph: (714) 388-6119 | Moxie Family Therapy, Pc 17772 Irvine Blvd Ste 209 Tustin CA 92780-3234 Ph: (714) 388-6119 |
| NPI Number | 1962006486 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962006486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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