Organization
ADDICTION THERAPY NEWPORT BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYSE IPEK AYKOL M.S. (LMFT, OWNER)
(562) 607-2496
Entity
Organization
Contact information
Practice address
4540 CAMPUS DR, NEWPORT BEACH, CA 92660-1815
(562) 607-2496
Mailing address
4540 CAMPUS DR, NEWPORT BEACH, CA 92660-1815
(562) 607-2496
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/16/2021
Last updated
12/09/2021
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