| Integrative Marriage Family And Individual Therapy, Incorporated | |
|
520 Plaza Dr Ste 140 Folsom CA 95630-4793 | |
| (530) 206-0335 | |
| Not Available |
| Full Name | Integrative Marriage Family And Individual Therapy, Incorporated |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 520 Plaza Dr Ste 140, Folsom, California |
| Authorized Official Name and Position | La Tisha Lynn San Pedro-lintag (DIRECTOR) |
| Authorized Official Contact | 9165834426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Marriage Family And Individual Therapy, Incorporated Po Box 445 Pollock Pines CA 95726-0445 Ph: () - | Integrative Marriage Family And Individual Therapy, Incorporated 520 Plaza Dr Ste 140 Folsom CA 95630-4793 Ph: (530) 206-0335 |
| NPI Number | 1588413538 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588413538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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