Healthcare Provider Details

I. General information

NPI: 1689143299
Provider Name (Legal Business Name): MEGAN ASHLEY SECO MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 ATLANTIC AVE STE 101&102
LONG BEACH CA
90813-4545
US

IV. Provider business mailing address

2337 LINDEN AVE
LONG BEACH CA
90806-3213
US

V. Phone/Fax

Practice location:
  • Phone: 562-380-0261
  • Fax:
Mailing address:
  • Phone: 909-938-3547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number128706
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number108816
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number128706
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: