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Organization

INDIVIDUAL, COUPLES AND FAMILY THERAPY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAITLIN TONDA MFT (PRESIDENT)
(310) 431-7532
Entity
Organization

Contact information

Practice address
10811 WASHINGTON BLVD STE 301, CULVER CITY, CA 90232-3666
(310) 431-7532
Mailing address
10811 WASHINGTON BLVD STE 301, CULVER CITY, CA 90232-3666
(310) 431-7532

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MFC49377
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245523182
INDIVIDUAL NPI #
CA
Enumeration date
03/08/2016
Last updated
03/08/2016
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