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Contact Information

MARY B RAE, MFT
259 S RANDOLPH AVE
STE. 160
BREA, CA92821-5739
 Phone: 714-990-0909
 Fax: 909-595-5701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for MARY B RAE · (Female)

NPI Number 1013067412
Status Active
Credentials MFT (Marriage and Family Therapist)
Entity Individual
Enumeration date 01/11/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # MFC23701
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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