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Organization
INTEGRATED THERAPIES, A FAMILY COUNSELING CORPORATION
Active
Organization
INTEGRATED THERAPIES, A FAMILY COUNSELING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA NYSTROM MFT (PRESIDENT)
(760) 946-2804
Entity
Organization
Contact information
Practice address
20601 US HIGHWAY 18 STE 158, APPLE VALLEY, CA 92307-3567
(760) 946-2804
(760) 946-0378
Mailing address
20258 HWY 18, SUITE 430-449, APPLE VALLEY, CA 92307
(760) 946-2804
(760) 946-0378
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MCF31725
CA
Other
Enumeration date
01/02/2007
Last updated
09/16/2019
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