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Organization
THE PAVED ROAD
Active
Organization
THE PAVED ROAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS J HUTCHINSON LMFT (PARTNER)
(949) 399-1111
Entity
Organization
Contact information
Practice address
4060 CAMPUS DR, SUITE 110, NEWPORT BEACH, CA 92660-2217
(949) 399-1111
Mailing address
4060 CAMPUS DR, SUITE 110, NEWPORT BEACH, CA 92660-2217
(949) 399-1111
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 47859
CA
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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