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Organization
VIVIANA MCGOVERN LMFT, INDIVIDUAL, MARRIAGE AND FAMILY THERAPY, INC.
Active
Organization
VIVIANA MCGOVERN LMFT, INDIVIDUAL, MARRIAGE AND FAMILY THERAPY, INC.
Active
Other names
Full Vida Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIANA MCGOVERN M.A, LMFT (CEO, PRESIDENT)
(714) 485-6187
Entity
Organization
Contact information
Practice address
21520 YORBA LINDA BLVD STE G, YORBA LINDA, CA 92887-3764
(714) 485-6187
Mailing address
20409 YORBA LINDA BLVD # 163, YORBA LINDA, CA 92886-3042
(714) 485-6187
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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