| International Lifecycle Family Therapy Inc. | |
|
1101 S Winchester Blvd Ste P296 San Jose CA 95128-3904 | |
| (408) 800-5366 | |
| (408) 380-4542 |
| Full Name | International Lifecycle Family Therapy Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1101 S Winchester Blvd Ste P296, San Jose, California |
| Authorized Official Name and Position | Seijiro Nishina (PRESIDENT) |
| Authorized Official Contact | 4088005366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Lifecycle Family Therapy Inc. 1101 S Winchester Blvd Ste P296 San Jose CA 95128-3904 Ph: (408) 800-5366 | International Lifecycle Family Therapy Inc. 1101 S Winchester Blvd Ste P296 San Jose CA 95128-3904 Ph: (408) 800-5366 |
| NPI Number | 1366124612 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366124612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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