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Individual

BETTY PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1171 CHERI DR, LA HABRA, CA 90631-2601
(510) 337-7950
Mailing address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(714) 289-3936
(714) 289-3938

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/25/2010
Last updated
02/05/2013
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