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Organization

SUSAN KELSEY, MFT, RPT-S

Active
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Organization

SUSAN KELSEY, MFT, RPT-S

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN ALLISON KELSEY MFT (MARRIAGE AND FAMILY THERAPIST)
(949) 878-6744
Entity
Organization

Contact information

Practice address
2900 BRISTOL ST, SUITE G-101, COSTA MESA, CA 92626-5981
(949) 878-6744
(949) 831-8088
Mailing address
2900 BRISTOL ST, SUITE G-101, COSTA MESA, CA 92626-5981
(949) 878-6744
(949) 831-8088

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC38488
CA

Other

Enumeration date
07/15/2009
Last updated
07/15/2009
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