Jessica Davanzo MFT, M.ED

NPI 1316142805 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1316142805
Gender Female
Enumeration Date 06/15/2007
Last Updated 04/02/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
260 CAGNEY LN
#220
NEWPORT BEACH CA, 92663-2671, US
Phone (949) 945-4373
Fax
Business Location
260 CAGNEY LN
#220
NEWPORT BEACH CA, 92663-2671, US
Phone (949) 945-4373
Fax
Toxanomy
Taxonomy Code 106H00000X
License State
License Number
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According to our database, Ms. Jessica Davanzo MFT, M.ED NPI is 1316142805, taxonomy code is 106H00000X Jessica Davanzo MFT, M.ED physically located at 260 Cagney Ln, Newport Beach CA, 92663-2671. NPI Number Jessica Davanzo MFT, M.ED has the Individual type.

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1316142805 NPI number is provided on an as is basis without warranty of any kind. 1316142805 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Davanzo MFT, M.ED are for informational purposes only.