| Ascension Family Counseling Inc | |
|
1901 Newport Blvd Ste 350 Costa Mesa CA 92627-2299 | |
| (562) 335-9497 | |
| Not Available |
| Full Name | Ascension Family Counseling Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1901 Newport Blvd Ste 350, Costa Mesa, California |
| Authorized Official Name and Position | Michael Mazzarino (OWNER) |
| Authorized Official Contact | 5623359497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Family Counseling Inc 1901 Newport Blvd Ste 350 Costa Mesa CA 92627-2299 Ph: (562) 335-9497 | Ascension Family Counseling Inc 1901 Newport Blvd Ste 350 Costa Mesa CA 92627-2299 Ph: (562) 335-9497 |
| NPI Number | 1578368619 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Medicare PECOS PAC ID | 3779004874 |
|---|---|
| Medicare Enrollment ID | O20250305002651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578368619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Michael Mazzarino |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982019352 PECOS PAC ID: 4688195787 Enrollment ID: I20250305003076 |
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