Darren Bagwell, MA, LMFT
Marriage & Family Therapist in Mission Viejo, CA. Individual provider (NPI-1).
NPI number1881179133
StatusActive
Last updated in NPPESOct 2, 2018
Details
- NPI
- 1881179133
- Entity type
- Individual (NPI-1)
- Name
- Darren Bagwell
- Credential
- MA, LMFT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2018
- Last updated
- Oct 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 106851 | CA | Yes |
Practice location
26131 Marguerite Pkwy Ste AMission Viejo, CA 92692-3161
Phone 949-830-2846
Mailing address
1835 Newport Blvd # A109-528Costa Mesa, CA 92627-5031
Phone 949-735-4455
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