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Organization
VINE MARRIAGE & FAMILY THERAPY INC
Active
Organization
VINE MARRIAGE & FAMILY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUI KIM (MARRIAGE & FAMILY THERAPIST)
(812) 994-0046
Entity
Organization
Contact information
Practice address
265 S RANDOLPH AVE STE 185, BREA, CA 92821-5702
(657) 377-5522
Mailing address
3813 CROMWELL DR, CARROLLTON, TX 75007-2852
(657) 377-5522
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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