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Provider Information for 1033720818


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MICHELLE T VOLZ LMFT


Sex: Female

NPI: 1033720818
Last Updated: 2020-08-13
Certification Date: 2020-08-13

Details

NameValue
NPI1033720818
Enumeration Date2020-08-13
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 24000 ALICIA PKWY UNIT 17-203
MISSION VIEJO, CA 92691-3929
United States

Phone: 949-528-2956 | Fax:
 
Primary Practice Address 24881 ALICIA PKWY # E-223
LAGUNA HILLS, CA 92653-4617
United States

Phone: 949-445-3855 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CALMFT31265