Organization
EDELWEISS INDIVIDUAL AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABA MONTAZERIAN LMFT (LICENSEDMARRIAGEANDFAMILYTHERAPIST)
(949) 229-0567
Entity
Organization
Contact information
Practice address
1100 QUAIL ST STE 206, NEWPORT BEACH, CA 92660-2782
(949) 229-0567
Mailing address
15615 ALTON PKWY STE 450, IRVINE, CA 92618-3308
(949) 229-0567
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/03/2022
Last updated
06/15/2023
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