# INTERNATIONAL LIFECYCLE FAMILY THERAPY INC.

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

## Provider details

- **NPI number:** 1366124612
- **Authorized official:** SEIJIRO NISHINA PSY.D., LMFT (PRESIDENT)
- **Authorized official phone:** (408) 800-5366

## Contact information

- **Practice address:** 1101 S WINCHESTER BLVD STE P296, SAN JOSE, CA 95128-3904
- **Practice address phone:** (408) 800-5366
- **Practice address fax:** (408) 380-4542
- **Mailing address:** 1101 S WINCHESTER BLVD STE P296, SAN JOSE, CA 95128-3904
- **Mailing address phone:** (408) 800-5366
- **Mailing address fax:** (408) 380-4542

## Taxonomy

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

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 08/07/2023