Provider Demographics
NPI:1578294401
Name:CULTURAL FAMILY THERAPY INCORPORATED
Entity Type:Organization
Organization Name:CULTURAL FAMILY THERAPY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT #113465/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:CLEMENCIA
Authorized Official - Last Name:CEJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-554-8287
Mailing Address - Street 1:2938 E SANTA ANA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0434
Mailing Address - Country:US
Mailing Address - Phone:559-554-8287
Mailing Address - Fax:
Practice Address - Street 1:7555 N DEL MAR AVE STE 206
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-6880
Practice Address - Country:US
Practice Address - Phone:559-500-6744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty