| West Coast Individual And Family Therapy Inc. | |
|
10061 Talbert Ave Suite 200/365 Fountain Valley CA 92708 | |
| (714) 222-3864 | |
| (714) 963-4703 |
| Full Name | West Coast Individual And Family Therapy Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 10061 Talbert Ave, Fountain Valley, California |
| Authorized Official Name and Position | Mark Raymond Gery (OWNER) |
| Authorized Official Contact | 7142223864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Individual And Family Therapy Inc. 2709 South Diamond Street Santa Ana CA 92704 Ph: (714) 222-3864 | West Coast Individual And Family Therapy Inc. 10061 Talbert Ave Suite 200/365 Fountain Valley CA 92708 Ph: (714) 222-3864 |
| NPI Number | 1245064245 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245064245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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