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Organization
COLLABORATIVE CENTER FOR INDIVIDUAL & MARRIAGE THERAPY, CORP
Active
Organization
COLLABORATIVE CENTER FOR INDIVIDUAL & MARRIAGE THERAPY, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA STEWART LMFT (CEO)
(760) 492-1098
Entity
Organization
Contact information
Practice address
2011 PALOMAR AIRPORT RD STE 205, CARLSBAD, CA 92011-1431
(760) 492-1098
Mailing address
2647 GATEWAY RD STE 105-217, CARLSBAD, CA 92009-1755
(760) 492-1098
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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