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Organization
WEST COAST INDIVIDUAL AND FAMILY THERAPY INC.
Active
Organization
WEST COAST INDIVIDUAL AND FAMILY THERAPY INC.
Active
Other names
West Coast Therapy Group.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK RAYMOND GERY LMFT (OWNER)
(714) 222-3864
Entity
Organization
Contact information
Practice address
10061 TALBERT AVE, SUITE 200/365, FOUNTAIN VALLEY, CA 92708
(714) 222-3864
(714) 963-4703
Mailing address
2709 SOUTH DIAMOND STREET, SANTA ANA, CA 92704
(714) 222-3864
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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