| Susan Kelsey, Mft, Rpt-s | |
|
2900 Bristol St Suite G-101 Costa Mesa CA 92626-5981 | |
| (949) 878-6744 | |
| (949) 831-8088 |
| Full Name | Susan Kelsey, Mft, Rpt-s |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2900 Bristol St, Costa Mesa, California |
| Authorized Official Name and Position | Susan Allison Kelsey (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 9498786744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Kelsey, Mft, Rpt-s 2900 Bristol St Suite G-101 Costa Mesa CA 92626-5981 Ph: (949) 878-6744 | Susan Kelsey, Mft, Rpt-s 2900 Bristol St Suite G-101 Costa Mesa CA 92626-5981 Ph: (949) 878-6744 |
| NPI Number | 1144450800 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144450800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC38488 (California) | Primary |
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