Individual
MS. MARY KELEIGH NYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
18 GILLMAN ST, IRVINE, CA 92612-2704
(949) 857-8380
Mailing address
18 GILLMAN ST, IRVINE, CA 92612-2704
(949) 857-8380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MFC35248
CA
Other
Enumeration date
10/04/2006
Last updated
07/21/2022
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