Individual
AMELIE NELLY FERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 N EL CAMINO REAL STE 202, SAN CLEMENTE, CA 92672-4778
(619) 356-0774
Mailing address
26895 ALISO CREEK RD # B616, ALISO VIEJO, CA 92656-5301
(949) 563-3709
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
130402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62308
CIGNA
CA
Enumeration date
03/03/2022
Last updated
03/07/2022
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