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Organization
PARENT WITH PRIDE
Active
Organization
PARENT WITH PRIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER CATABAS MA, LMFT, LPCC (CO-FOUNDER)
(949) 791-7452
Entity
Organization
Contact information
Practice address
2850 MESA VERDE DR E, STE. H., COSTA MESA, CA 92626-4891
(949) 791-7452
(512) 682-1750
Mailing address
2850 MESA VERDE DR E, STE. H., COSTA MESA, CA 92626-4891
(949) 791-7452
(512) 682-1750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPCC 1387
CA
1041C0700X
Clinical Social Worker
Primary
LCSW 66076
CA
106H00000X
Marriage & Family Therapist
LMFT 49551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109304017
N/A
CA
01
—
1972791192
N/A
CA
Enumeration date
02/29/2016
Last updated
02/29/2016
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