Individual
DEBORAH SIRY ARDOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LMFT
Contact information
Practice address
18685 MAIN ST, SUITE 101-348, HUNTINGTON BEACH, CA 92648-1723
(310) 874-4365
Mailing address
18685 MAIN ST, SUITE 101-348, HUNTINGTON BEACH, CA 92648-1723
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12889
AZ
106H00000X
Marriage & Family Therapist
MFC 41978
CA
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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