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1558906149
CHELSEA ANNE FOUNTAIN
TUSTIN, CA
NPI
1558906149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT116206)
Enumeration Date
2019-11-07
Last Update Date
2019-11-07
Business Address
CHELSEA ANNE FOUNTAIN MA, LMFT
242 W MAIN ST STE 104
TUSTIN, CA 92780-7715
Phone number: 949-342-6459
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Mailing Address
CHELSEA ANNE FOUNTAIN MA, LMFT
242 W MAIN ST STE 104
TUSTIN, CA 92780-7715
Phone number: 949-342-6459
Copy
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