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NPI Code Detail

MEDICARE: MARYANNE LIHUA DUAN LMFT

MEDICARE: MARYANNE LIHUA DUAN LMFT
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
1106H00000XMarriage & Family Therapist
2101YM0800XMental Health Counselor
3106H00000XMarriage & Family Therapist94176CA
4106H00000XMarriage & Family TherapistCA

General Provider Information

NPI Number : 1558649699
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYANNE LIHUA DUAN LMFT
Provider Business Mailing Address
First Line : 12821 NEWPORT AVE
Second Line :
City : TUSTIN
State : CA
Zip : 92780-2711
Country : US
Telephone Number : 714-803-4866
Fax Number :
Provider Business Practice Location Address
First Line : 12821 NEWPORT AVE
Second Line :
City : TUSTIN
State : CA
Zip : 92780-2711
Country : US
Telephone Number : 714-803-4866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2011
Last Update Date : 01/31/2025

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