Seaport Family Therapy Services, Inc | |
17155 Newhope St Ste L Fountain Valley CA 92708-4233 | |
(714) 494-9136 | |
Not Available |
Full Name | Seaport Family Therapy Services, Inc |
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Speciality | Marriage & Family Therapist |
Location | 17155 Newhope St Ste L, Fountain Valley, California |
Authorized Official Name and Position | Nicole Sabatini Gutierrez (PRESIDENT) |
Authorized Official Contact | 7144949136 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Seaport Family Therapy Services, Inc 17155 Newhope St Ste L Fountain Valley CA 92708-4233 Ph: (714) 494-9136 | Seaport Family Therapy Services, Inc 17155 Newhope St Ste L Fountain Valley CA 92708-4233 Ph: (714) 494-9136 |
NPI Number | 1912453739 |
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Provider Enumeration Date | 08/31/2016 |
Last Update Date | 08/31/2016 |
Identifier | Type | State | Issuer |
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1912453739 | NPI | - | NPPES |
93806 | Other | CA | CA BBS LMFT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 93806 (California) | Primary |
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