# MR. THERAPIST, INDIVIDUAL & FAMILY THERAPY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205632965
- **Authorized official:** MR. EMMANUEL ROMERO LMFT (OWNER)
- **Authorized official phone:** (949) 466-1560

## Contact information

- **Practice address:** 1000 CALLE AMANECER, SAN CLEMENTE, CA 92673-6214
- **Practice address phone:** (949) 466-1560
- **Mailing address:** 1000 CALLE AMANECER, SAN CLEMENTE, CA 92673-6214
- **Mailing address phone:** (949) 466-1560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 02/24/2025
- **Last updated:** 02/24/2025