Marilyn Marie Adams, LMFT

Individual provider Active NPI Marriage & Family Therapist · Tustin, CA

NPI 1255543732 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1255543732
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC 37301 (CA)
Practice address
228 W Main St
Tustin, CA 92780-4320
Phone
(714) 813-3859
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC 37301CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 37301 CA Yes

Addresses

Primary practice location

228 W Main St
Tustin, CA 92780-4320

Mailing address

PO Box 366
Atwood, CA 92811-0366
Phone (714) 813-3859

Other providers in Tustin, CA

All providers in Tustin, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.