# POTENTIA FAMILY THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Potentia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225316391
- **Authorized official:** MRS. REBECCA D BASS-CHING LMFT (OWNER AND DIRECTOR)
- **Authorized official phone:** (619) 819-0283

## Contact information

- **Practice address:** 3160 CAMINO DEL RIO S, 304, SAN DIEGO, CA 92108-3813
- **Practice address phone:** (619) 819-0283
- **Practice address fax:** (619) 819-0284
- **Mailing address:** 3160 CAMINO DEL RIO S, 304, SAN DIEGO, CA 92108-3813
- **Mailing address phone:** (619) 819-0283
- **Mailing address fax:** (619) 819-0284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 44584 | CA | Yes |

## Other

- **Enumeration date:** 07/23/2011
- **Last updated:** 07/23/2011