| Driftwood Family Therapy Collective, Corp. | |
|
2121 Newcastle Ave Ste D Cardiff CA 92007-1861 | |
| (310) 874-2872 | |
| Not Available |
| Full Name | Driftwood Family Therapy Collective, Corp. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2121 Newcastle Ave Ste D, Cardiff, California |
| Authorized Official Name and Position | Hannah Nyznyk (OWNER) |
| Authorized Official Contact | 3108742872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Driftwood Family Therapy Collective, Corp. 1038 Evergreen Dr Encinitas CA 92024-3915 Ph: (310) 874-2872 | Driftwood Family Therapy Collective, Corp. 2121 Newcastle Ave Ste D Cardiff CA 92007-1861 Ph: (310) 874-2872 |
| NPI Number | 1164265435 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 09/22/2024 |
| Certification Date | 09/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164265435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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