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Organization
SEAPORT FAMILY THERAPY SERVICES, INC
Active
Organization
SEAPORT FAMILY THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SABATINI GUTIERREZ (PRESIDENT)
(714) 494-9136
Entity
Organization
Contact information
Practice address
17155 NEWHOPE ST STE L, FOUNTAIN VALLEY, CA 92708-4233
(714) 494-9136
Mailing address
17155 NEWHOPE ST STE L, FOUNTAIN VALLEY, CA 92708-4233
(714) 494-9136
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
93806
CA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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