Individual
CHRISTINA MARCELLA O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S ANITA DR # 102-104, ORANGE, CA 92868-3355
(714) 410-3500
Mailing address
265 S ANITA DR, 102-104, ORANGE, CA 92868-3355
(714) 410-3500
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 36384
CA
Other
Enumeration date
11/16/2016
Last updated
12/29/2023
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