Provider Demographics
NPI:1033824057
Name:KALI COUNSELING A MARRIAGE AND FAMILY THERAPY CORPORATION
Entity Type:Organization
Organization Name:KALI COUNSELING A MARRIAGE AND FAMILY THERAPY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:KHADIJAH
Authorized Official - Middle Name:HINNA
Authorized Official - Last Name:BHUTTO RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD LMFT
Authorized Official - Phone:310-920-9119
Mailing Address - Street 1:740 NORDAHL RD
Mailing Address - Street 2:SUITE 110 #411
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-3543
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:740 NORDAHL RD
Practice Address - Street 2:SUITE 110 #411
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-3543
Practice Address - Country:US
Practice Address - Phone:000-000-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty