# ID MARRIAGE & FAMILY THERAPY PC

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

## Provider details

- **NPI number:** 1962378257
- **Authorized official:** INERTIA DEWITT LMFT (CLINICAL DIRECTOR)
- **Authorized official phone:** (213) 534-7324

## Contact information

- **Practice address:** 1941 JACKSON ST STE 20, OAKLAND, CA 94612-4600
- **Practice address phone:** (213) 534-7324
- **Mailing address:** 1432 3RD AVE APT 2, OAKLAND, CA 94606-2266
- **Mailing address phone:** (916) 710-1959

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2025
- **Last updated:** 10/14/2025