# SUSAN KELSEY, MFT, RPT-S

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144450800
- **Authorized official:** MS. SUSAN ALLISON KELSEY MFT (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (949) 878-6744

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC38488 | CA | Yes |

## Other

- **Enumeration date:** 07/15/2009
- **Last updated:** 07/15/2009