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Organization
JENNIFER LUNDY FAMILY THERAPY, INC.
Active
Organization
JENNIFER LUNDY FAMILY THERAPY, INC.
Active
Other names
Positive Change Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN LUNDY-AGUERRE MFT (OWNER)
(619) 733-6414
Entity
Organization
Contact information
Practice address
5480 BALTIMORE DR STE 250, LA MESA, CA 91942-2066
(619) 733-6414
(619) 303-3306
Mailing address
5480 BALTIMORE DR STE 250, LA MESA, CA 91942-2066
(619) 733-6414
(619) 303-3306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21402
CA
106H00000X
Marriage & Family Therapist
42025
CA
Other
Enumeration date
02/02/2012
Last updated
03/12/2014
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