Organization
MARY J. DEANE, A MARRIAGE AND FAMILY THERAPY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY J. DEANE (PRESIDENT)
(714) 239-5855
Entity
Organization
Contact information
Practice address
1601 DOVE ST, #230, NEWPORT BEACH, CA 92660-2433
(714) 239-5855
(949) 509-6765
Mailing address
1601 DOVE STREET, #230, NEWPORT BEACH, CA 92660-1423
(714) 239-5855
(949) 509-6765
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFT20881
CA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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