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Organization
WANT INSTITUTE
Active
Organization
WANT INSTITUTE
Active
Other names
For Marriage Family and Child Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA DIANNE ALLEN SHANAHAN MFT 6801 (DIRECTOR FOR MARRIAGE FAMILY AND CH)
(949) 723-0338
Entity
Organization
Contact information
Practice address
3355 VIA LIDO, # 205, NEWPORT BEACH, CA 92663
(949) 723-0338
(949) 458-0904
Mailing address
3355 VIA LIDO, # 205, NEWPORT BEACH, CA 92663-3960
(949) 723-0338
(949) 458-0904
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6801
CA
Other
Enumeration date
02/27/2007
Last updated
06/23/2008
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