# ILLUMINATE WITHIN FAMILY THERAPY PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1649107772
- **Authorized official:** MAHTAAB KHANJARI LMFT (OWNER, CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (952) 465-7226

## Contact information

- **Practice address:** 9815 CARROLL CANYON RD STE 103, SAN DIEGO, CA 92131-1123
- **Practice address phone:** (952) 465-7226
- **Mailing address:** 9815 CARROLL CANYON RD STE 103, SAN DIEGO, CA 92131-1123

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2026
- **Last updated:** 05/05/2026