Audry Beverly Lea MA, MFT

NPI 1730372806 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1730372806
Gender Female
Enumeration Date 08/22/2007
Last Updated 08/22/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
16152 BEACH BLVD
SUITE 280
HUNTINGTON BEACH CA, 92647-3806, US
Phone (714) 848-5804
Fax (714) 848-5184
Business Location
16152 BEACH BLVD
SUITE 280
HUNTINGTON BEACH CA, 92647-3806, US
Phone (714) 848-5804
Fax (714) 848-5184
Toxanomy
Taxonomy Code 305R00000X
License State California
License Number MFC 27625
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According to our database, Ms. Audry Beverly Lea MA, MFT NPI is 1730372806, taxonomy code is 305R00000X and license number is MFC 27625, license state is located at California. Audry Beverly Lea MA, MFT physically located at 16152 Beach Blvd, Huntington Beach CA, 92647-3806. NPI Number Audry Beverly Lea MA, MFT has the Individual type.

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1730372806 NPI number is provided on an as is basis without warranty of any kind. 1730372806 is maintained by the National Plan & Provider Enumeration System. The contents of Audry Beverly Lea MA, MFT are for informational purposes only.