Organization
ADVANCED FAMILY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NICOLE IANIRO LMFT (OWNER)
(818) 724-9452
Entity
Organization
Contact information
Practice address
1415 PANORAMA CT, THOUSAND OAKS, CA 91360-6247
(818) 724-9452
Mailing address
1415 PANORAMA CT, THOUSAND OAKS, CA 91360-6247
(818) 724-9452
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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