# ACE INDIVIDUAL AND FAMILY THERAPY

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

## Provider details

- **NPI number:** 1336774470
- **Authorized official:** MR. ENRIQUE ALEXANDER CAMPO LMFT (THERAPIST)
- **Authorized official phone:** (949) 891-2760

## Contact information

- **Practice address:** 5000 BIRCH STREET, WEST TOWER, SUITE 306, NEWPORT BEACH, CA 92660-2127
- **Practice address phone:** (949) 891-2760
- **Mailing address:** PO BOX 11253, SANTA ANA, CA 92711-1253
- **Mailing address phone:** (714) 975-0134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2020
- **Last updated:** 12/07/2020