Organization · NPI-2

11-10 Therapy, A Marriage And Family Therapy Corp

Marriage & Family Therapist · Riverside, CA

NPI number1275286486
StatusActive
Last updated in NPPESMar 16, 2022

Details

NPI
1275286486
Entity type
Organization (NPI-2)
Legal business name
11-10 Therapy, A Marriage And Family Therapy Corp
Organization subpart
No
Enumeration date
Jan 28, 2022
Certification date
Mar 16, 2022
Last updated
Mar 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist––Yes

Other names

  • 11-10 Therapy, A Marriage And Family Therapy Corp (Doing Business As)

Practice location

3400 Central Ave Ste 310
Riverside, CA 92506-2181

Phone 951-275-3756

Mailing address

3400 Central Ave Ste 310
Riverside, CA 92506-2181

Phone 951-275-3756

Authorized official

Cory L Candelas
Mariage And Family Therapist
9512753756

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