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Organization
CONSCIOUS MARRIAGE AND FAMILY THERAPY, INC.
Active
Organization
CONSCIOUS MARRIAGE AND FAMILY THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SU BOUDREAU (OWNER)
(619) 393-2290
Entity
Organization
Contact information
Practice address
2108 N ST STE N, SACRAMENTO, CA 95816-5712
(619) 393-2290
Mailing address
1140 WALL ST # 355, LA JOLLA, CA 92037-4531
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
05/19/2022
Last updated
09/13/2022
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