NPI 1003011701

Corene Vieira Tague, MA

Practitioner Marriage & Family Therapist Garden Grove, CA

Practice location

Address: 11301 Acacia Pkwy Family and Youth Outreach Program, Garden Grove, CA 92840-5310
Phone: (714) 741-5888
Fax: (714) 636-0351
Mailing address: PO Box 541, Huntington Beach, CA 92648-0541

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 42054 (CA)

Other Marriage & Family Therapist providers in California →

Registry record

NPI: 1003011701
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.