Provider Demographics
NPI:1396857082
Name:DADD, MARCI (LMFT)
Entity Type:Individual
Prefix:
First Name:MARCI
Middle Name:
Last Name:DADD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31897 DEL OBISPO ST STE 250
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-3243
Mailing Address - Country:US
Mailing Address - Phone:949-329-2522
Mailing Address - Fax:949-276-7911
Practice Address - Street 1:31897 DEL OBISPO ST STE 250
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-3243
Practice Address - Country:US
Practice Address - Phone:949-329-2522
Practice Address - Fax:949-276-7911
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2019-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36994106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist