Organization
JEWISH FAMILY SERVICE OF ORANGE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA LYNN MARCINKO (ADMINISTRATIVE DIRECTOR)
(949) 435-3460
Entity
Organization
Contact information
Practice address
1 FEDERATION WAY, SUITE 220, IRVINE, CA 92603-0173
(949) 435-3460
(714) 445-4960
Mailing address
1 FEDERATION WAY, SUITE 220, IRVINE, CA 92603-0173
(949) 435-3460
(714) 445-4960
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW11409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFC8631
PSYCHOTHERAPIST
CA
01
—
SW11409
LCSW LICENSE
CA
Enumeration date
03/21/2007
Last updated
07/31/2008
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