# MINDFUL EVOLUTION FAMILY THERAPY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1932815255
- **Authorized official:** JESSICA MARTIN LMFT (OWNER/ THERAPIST)
- **Authorized official phone:** (760) 822-9946

## Contact information

- **Practice address:** 4475 MISSION BLVD STE 201, SAN DIEGO, CA 92109-3967
- **Practice address phone:** (760) 822-9946
- **Mailing address:** 4475 MISSION BLVD STE 201, SAN DIEGO, CA 92109-3967

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2023
- **Last updated:** 01/30/2023