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Organization
INTEGRATIVE MARRIAGE FAMILY AND INDIVIDUAL THERAPY, INCORPORATED
Active
Organization
INTEGRATIVE MARRIAGE FAMILY AND INDIVIDUAL THERAPY, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA TISHA LYNN SAN PEDRO-LINTAG (DIRECTOR)
(916) 583-4426
Entity
Organization
Contact information
Practice address
3431 SLY PARK RD, POLLOCK PINES, CA 95726-9520
(530) 206-0335
Mailing address
4231 BALBOA AVE # 1509, SAN DIEGO, CA 92117-5504
(530) 206-0335
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
08/26/2026
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