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Organization
EVOLVE WITHIN CHILD & ADULT THERAPY, INC.
Active
Organization
EVOLVE WITHIN CHILD & ADULT THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA STOKKE (VICE PRESIDENT & SECRETARY)
(949) 229-1325
Entity
Organization
Contact information
Practice address
2503 EASTBLUFF DR STE 201A, NEWPORT BEACH, CA 92660-3550
(949) 229-1325
Mailing address
2503 EASTBLUFF DR STE 201A, NEWPORT BEACH, CA 92660-3550
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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