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Organization
MARCIE BEASLEY PHAM LMFT, A MARRIAGE AND FAMILY THERAPY PROFESSIONAL
Active
Organization
MARCIE BEASLEY PHAM LMFT, A MARRIAGE AND FAMILY THERAPY PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIE BEASLEY PHAM MA, LMFT (PRESIDENT)
(949) 877-4872
Entity
Organization
Contact information
Practice address
1001 DOVE ST STE 105, NEWPORT BEACH, CA 92660-2838
(949) 877-4872
Mailing address
1001 DOVE ST STE 105, NEWPORT BEACH, CA 92660-2838
(949) 877-4872
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/27/2021
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