Individual
ANNIE SCULLY BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20162 SW BIRCH ST, 300, NEWPORT BEACH, CA 92660
(888) 717-9355
Mailing address
20162 SW BIRCH ST, 300, NEWPORT BEACH, CA 92660
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
CA
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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