# EL MOLINO FAMILY THERAPY

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

## Provider details

- **NPI number:** 1427892462
- **Authorized official:** MIRIAM BERMUDEZ MFT (OWNER)
- **Authorized official phone:** (626) 252-7964

## Contact information

- **Practice address:** 1401 FAIR OAKS AVE, SOUTH PASADENA, CA 91030-6204
- **Practice address phone:** (626) 252-7964
- **Practice address fax:** (626) 609-0200
- **Mailing address:** 1401 FAIR OAKS AVE, SOUTH PASADENA, CA 91030-6204
- **Mailing address phone:** (626) 252-7964
- **Mailing address fax:** (626) 609-0200

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2024
- **Last updated:** 06/24/2024