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Organization
FULL BRAIN FAMILY THERAPY INC
Active
Organization
FULL BRAIN FAMILY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN PEMBERTON LMFT (CEO/LEAD THERAPIST)
(949) 464-8055
Entity
Organization
Contact information
Practice address
29829 SANTA MARGARITA PKWY, RANCHO SANTA MARGARITA, CA 92688-3622
(949) 464-8055
Mailing address
27762 ANTONIO PKWY STE L1, #251, LADERA RANCH, CA 92694-1141
(949) 464-8055
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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