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SHELBY LYNN AMMANN

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1578162111

Individual Registrant:
 SHELBY LYNN AMMANN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5 MAREBLU  ALISO VIEJO, CA 92656-3014 US
Tel: 949-643-6900  Fax: --

Contact information for business:
190 SANTA ISABEL AVE  COSTA MESA, CA 92627-1527 US
Tel: 949-373-6777  Fax: --

Registration Information:
NPI: 1578162111
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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