# BETH HOLDER LICENSED MARRIAGE AND FAMILY THERAPY INC

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

## Provider details

- **NPI number:** 1659944361
- **Authorized official:** BETHANY HOLDER LMFT (DIRECTOR)
- **Authorized official phone:** (949) 842-7884

## Contact information

- **Practice address:** 302 N EL CAMINO REAL STE 202, SAN CLEMENTE, CA 92672-4778
- **Practice address phone:** (949) 842-7884
- **Practice address fax:** (949) 272-5541
- **Mailing address:** 302 N EL CAMINO REAL STE 202, SAN CLEMENTE, CA 92672-4778
- **Mailing address phone:** (949) 842-7884
- **Mailing address fax:** (949) 272-5541

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2021
- **Last updated:** 07/20/2021