Organization
CHILD GUIDANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LA VONNE KATHERYN HASSAN MFT (MARRIAGE FAMILY THERAPIST)
(714) 953-4455
Entity
Organization
Contact information
Practice address
1440 E 1ST ST, 406, SANTA ANA, CA 92701-6384
(714) 953-4455
(714) 558-9488
Mailing address
1440 E 1ST ST, 406, SANTA ANA, CA 92701-6384
(714) 953-4455
(714) 558-9488
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34068
CA
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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