The Paved Road

NPI #1700124484 in Newport Beach, California

Provider Information

NPI Number
1700124484
Entity Type
Organization
Organization Name
The Paved Road
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Jan 30, 2013
Last Updated
Jan 30, 2013

Practice Location

Address
4060 CAMPUS DR
Address 2
SUITE 110
ZIP Code
92660-2217
Phone
(949) 399-1111

Authorized Official

Name
MR. DOUGLAS J HUTCHINSON, LMFT
Title
PARTNER
Phone
(949) 399-1111

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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