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Organization
JEREMY HARVEY MARRIAGE AND FAMILY THERAPIST PROFESSIONAL CORPORATION
Active
Organization
JEREMY HARVEY MARRIAGE AND FAMILY THERAPIST PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY JEREMY (PRESIDENT)
(949) 945-4364
Entity
Organization
Contact information
Practice address
260 NEWPORT CENTER DR STE 101, NEWPORT BEACH, CA 92660-7520
(949) 945-4364
Mailing address
51 VIA AMANTI, NEWPORT COAST, CA 92657-1124
(949) 945-4364
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
Other
Enumeration date
04/05/2019
Last updated
02/11/2025
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