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1518225226
TERRENCE (TERRY) H ANDERSON
TUSTIN, CA
NPI
1518225226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 50616)
Enumeration Date
2012-05-01
Last Update Date
2012-09-18
Business Address
Dr. TERRENCE (TERRY) H ANDERSON M.S.,Psy.D,LMFT
228 W MAIN ST
TUSTIN, CA 92780-4320
Phone number: 714-457-4543
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Mailing Address
Dr. TERRENCE (TERRY) H ANDERSON M.S.,Psy.D,LMFT
18452 DURFEE CIR
VILLA PARK, CA 92861-4520
Phone number: 714-997-9262
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