Individual provider · Type 1 NPI
Ellen Gerken Mainthow, LMFT
Mental Health Counselor · Newport Beach, CA
NPI number
1669951513
Active
Practice location
1965 Port Trinity Pl
Newport Beach, CA 92660-7127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MFT27818 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1669951513
Ellen Gerken Mainthow, LMFT's National Provider Identifier is 1669951513, issued on Aug 11, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newport Beach, CA. The record was last updated on Aug 11, 2018.