Organization
A NEW PATH FAMILY THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA BRAVO-MONTES LMFT (OWNER)
(619) 207-3978
Entity
Organization
Contact information
Practice address
4323 PALM AVE STE A, LA MESA, CA 91941-6528
(619) 207-3978
Mailing address
776 CALLECITA AQUILLA SUR, CHULA VISTA, CA 91911-6968
(619) 207-3978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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