| Collaborative Center For Individual & Marriage Therapy, Corp | |
|
2011 Palomar Airport Rd Ste 205 Carlsbad CA 92011-1431 | |
| (760) 492-1098 | |
| Not Available |
| Full Name | Collaborative Center For Individual & Marriage Therapy, Corp |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2011 Palomar Airport Rd Ste 205, Carlsbad, California |
| Authorized Official Name and Position | Linda Stewart (CEO) |
| Authorized Official Contact | 7604921098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Center For Individual & Marriage Therapy, Corp 2647 Gateway Rd Ste 105-217 Carlsbad CA 92009-1755 Ph: (760) 492-1098 | Collaborative Center For Individual & Marriage Therapy, Corp 2011 Palomar Airport Rd Ste 205 Carlsbad CA 92011-1431 Ph: (760) 492-1098 |
| NPI Number | 1427751619 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427751619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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