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Organization
COLVIN INDIVIDUAL AND FAMILY THERAPY
Active
Organization
COLVIN INDIVIDUAL AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY HARPER COLVIN (PRESIDENT)
(949) 290-4922
Entity
Organization
Contact information
Practice address
2900 BRISTOL ST, SUITE A207, COSTA MESA, CA 92626-5981
(949) 290-4922
Mailing address
2900 BRISTOL ST, SUITE A207, COSTA MESA, CA 92626-5981
(949) 290-4922
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 44052
CA
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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