# CO-CREATIVE MARRIAGE AND FAMILY COUNSELING INC

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

## Provider details

- **NPI number:** 1750991493
- **Authorized official:** ANTONIA ALLISON (OWNER)
- **Authorized official phone:** (626) 470-7276

## Contact information

- **Practice address:** 20955 PATHFINDER RD, DIAMOND BAR, CA 91765-4028
- **Practice address phone:** (626) 470-7276
- **Mailing address:** 20955 PATHFINDER RD, DIAMOND BAR, CA 91765-4028
- **Mailing address phone:** (626) 470-7276

## Taxonomy

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

## Other

- **Enumeration date:** 08/07/2020
- **Last updated:** 08/07/2020