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Organization
RADIANT PATH MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION
Active
Organization
RADIANT PATH MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDON EHTESHAMZADEH (VICE PRESIDENT)
(951) 205-2949
Entity
Organization
Contact information
Practice address
308 W STATE ST STE 3D, REDLANDS, CA 92373-4653
(909) 577-1124
Mailing address
308 W STATE ST STE 3D, REDLANDS, CA 92373-4653
(909) 577-1124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/03/2026
Last updated
06/10/2026
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