# THE CENTER FOR PSYCHOLOGICAL AND PSYCHEDELIC FAMI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Center for Psychological and Psychedelic Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447081153
- **Authorized official:** JENNIFER STUBBLEFIELD MS. LMFT81059 (LMFT, OWNER)
- **Authorized official phone:** (949) 500-9513

## Contact information

- **Practice address:** 242 W MAIN ST STE 104, TUSTIN, CA 92780-7715
- **Practice address phone:** (949) 705-9811
- **Mailing address:** 242 W MAIN ST STE 104, TUSTIN, CA 92780-7715

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2024
- **Last updated:** 08/13/2024