MEDICARE: MARTIN FAMILY THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1083594717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTIN FAMILY THERAPY

Provider Business Mailing Address
First Line	:	1224 E KATELLA AVE STE 209
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-5049
Country	:	US
Telephone Number	:	949-702-1986
Fax Number	:

Provider Business Practice Location Address
First Line	:	1224 E KATELLA AVE STE 209
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-5049
Country	:	US
Telephone Number	:	949-702-1986
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRITTANY WEBB
Credential	:	LMFT
Telephone Number	:	949-702-1986

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	09/04/2025

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Directions to “MARTIN FAMILY THERAPY ” Practice Location

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