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Individual

MRS. ALLISON MARIE WAITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LMFT

Contact information

Practice address
833 DOVER DR STE 24, NEWPORT BEACH, CA 92663-6954
(949) 922-6137
Mailing address
822 BAYPOINTE DR, NEWPORT BEACH, CA 92660-8509
(949) 922-6137

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
100610
CA

Other

Enumeration date
10/06/2017
Last updated
10/06/2017
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