Provider Demographics
NPI:1922150747
Name:KOVARS, PATRICIA (MFT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:KOVARS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19742 MACARTHUR BLVD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2432
Mailing Address - Country:US
Mailing Address - Phone:949-933-2170
Mailing Address - Fax:949-955-0163
Practice Address - Street 1:19742 MACARTHUR BLVD
Practice Address - Street 2:SUITE 125
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2432
Practice Address - Country:US
Practice Address - Phone:949-933-2170
Practice Address - Fax:949-955-0163
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 38248106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist