Integrative Marriage Family and Individual Therapy, Incorporated
NPI #1588413538 in Pollock Pines, California
Provider Information
- NPI Number
- 1588413538
- Entity Type
- Organization
- Organization Name
- Integrative Marriage Family and Individual Therapy, Incorporated
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- May 14, 2024
- Last Updated
- Oct 27, 2025
Practice Location
- Address
- 3431 SLY PARK RD
- City
- Pollock Pines
- State
- California
- ZIP Code
- 95726-9520
- Phone
- (530) 206-0335
Authorized Official
- Name
- LA TISHA LYNN SAN PEDRO-LINTAG
- Title
- DIRECTOR
- Phone
- (916) 583-4426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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