# EVOLVING PATHS THERAPY MARRIAGE & FAMILY COUNSELING CORPORATION

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

## Provider details

- **NPI number:** 1386406825
- **Authorized official:** LATOYA DESUE LMFT (CEO/OWNER)
- **Authorized official phone:** (626) 636-3421

## Contact information

- **Practice address:** 10174 OLD GROVE RD STE 110, SAN DIEGO, CA 92131-1648
- **Practice address phone:** (626) 636-3421
- **Mailing address:** 10174 OLD GROVE RD STE 110, SAN DIEGO, CA 92131-1648
- **Mailing address phone:** (626) 636-3421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2024
- **Last updated:** 02/08/2024