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Organization
ILLUMINATE WITHIN FAMILY THERAPY PROFESSIONAL CORPORATION
Active
Organization
ILLUMINATE WITHIN FAMILY THERAPY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHTAAB KHANJARI LMFT (OWNER, CHIEF EXECUTIVE OFFICER)
(952) 465-7226
Entity
Organization
Contact information
Practice address
9815 CARROLL CANYON RD STE 103, SAN DIEGO, CA 92131-1123
(952) 465-7226
Mailing address
9815 CARROLL CANYON RD STE 103, SAN DIEGO, CA 92131-1123
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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