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Organization
FAMILY LEGACY THERAPY PROFESSIONAL CORPORATION
Active
Organization
FAMILY LEGACY THERAPY PROFESSIONAL CORPORATION
Active
Other names
Family Legacy Therapy Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAN JUANA MELGOZA PHD., LMFT (CEO)
(209) 659-3350
Entity
Organization
Contact information
Practice address
1350 W ROBINHOOD DR STE 19, STOCKTON, CA 95207-5514
(209) 659-3350
Mailing address
1350 W ROBINHOOD DR STE 19, STOCKTON, CA 95207-5514
(209) 659-3350
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
10/08/2026
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