Provider Demographics
NPI:1326510785
Name:DENISE EHRET MARRIAGE AND FAMILY THERAPY INC
Entity Type:Organization
Organization Name:DENISE EHRET MARRIAGE AND FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE INCORPORATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:EHRET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-807-9555
Mailing Address - Street 1:2042 ZLATIBOR RANCH RD
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-6738
Mailing Address - Country:US
Mailing Address - Phone:760-807-9555
Mailing Address - Fax:
Practice Address - Street 1:11665 AVENA PL STE 206
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2428
Practice Address - Country:US
Practice Address - Phone:760-807-9555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty