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Organization
FAMOS THERAPIES
Active
Organization
FAMOS THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM GUILLEN-IBARRA LMFT (CLINICAL COUNSELOR)
(619) 240-2359
Entity
Organization
Contact information
Practice address
815 THIRD AVE STE 311, CHULA VISTA, CA 91911-1310
(619) 500-6298
Mailing address
815 THIRD AVE STE 311, CHULA VISTA, CA 91911-1310
(619) 500-6298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/03/2024
Last updated
01/19/2024
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