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Organization
MOXIE FAMILY THERAPY, PC
Active
Organization
MOXIE FAMILY THERAPY, PC
Active
Other names
Moxie Family Therapy, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN MELLON LMFT (FOUNDER AND DIRECTOR)
(714) 388-6119
Entity
Organization
Contact information
Practice address
17772 IRVINE BLVD STE 209, TUSTIN, CA 92780-3234
(714) 388-6119
Mailing address
17772 IRVINE BLVD STE 209, TUSTIN, CA 92780-3234
(714) 388-6119
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
08/17/2022
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