Provider Demographics
NPI:1033309083
Name:FRANZ, MARY (MA MFT)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:
Last Name:FRANZ
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 CERRITOS DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-2816
Mailing Address - Country:US
Mailing Address - Phone:949-497-6767
Mailing Address - Fax:949-494-7858
Practice Address - Street 1:1395 CERRITOS DRIVE
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2816
Practice Address - Country:US
Practice Address - Phone:949-497-6767
Practice Address - Fax:949-494-7858
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT22196106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist