# DEPTH MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Depth Psychotherapy San Diego
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184510018
- **Authorized official:** TRANG NGOC PHAN LMFT (OWNER)
- **Authorized official phone:** (808) 636-0056

## Contact information

- **Practice address:** 12180 RANCHO BERNARDO RD, SAN DIEGO, CA 92128-2019
- **Practice address phone:** (808) 636-0056
- **Mailing address:** 12180 RANCHO BERNARDO RD, SAN DIEGO, CA 92128-2019
- **Mailing address phone:** (808) 636-0056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2025
- **Last updated:** 06/17/2025