Healthcare Provider Details

I. General information

NPI: 1306775432
Provider Name (Legal Business Name): MORGAN PAGE CLANCY APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 BIRMINGHAM DR STE 240A
CARDIFF BY THE SEA CA
92007-1757
US

IV. Provider business mailing address

120 BIRMINGHAM DR STE 240A
CARDIFF BY THE SEA CA
92007-1757
US

V. Phone/Fax

Practice location:
  • Phone: 619-777-9681
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC22550
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: