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Organization
OCEAN BREEZE BEHAVIORAL THERAPY INC
Active
Organization
OCEAN BREEZE BEHAVIORAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FARD LMFT (CHIEF EXECUTIVE OFFICER)
(949) 229-1463
Entity
Organization
Contact information
Practice address
23121 VERDUGO DR STE 204, LAGUNA HILLS, CA 92653-1339
(949) 229-1463
Mailing address
24310 MOULTON PKWY STE 0-223, LAGUNA WOODS, CA 92637-3306
(949) 229-1463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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