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Organization
ACE INDIVIDUAL AND FAMILY THERAPY
Active
Organization
ACE INDIVIDUAL AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUE ALEXANDER CAMPO LMFT (THERAPIST)
(949) 891-2760
Entity
Organization
Contact information
Practice address
5000 BIRCH STREET, WEST TOWER, SUITE 306, NEWPORT BEACH, CA 92660-2127
(949) 891-2760
Mailing address
PO BOX 11253, SANTA ANA, CA 92711-1253
(714) 975-0134
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
12/07/2020
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