Provider Demographics
NPI:1689386757
Name:AFFIRMING MARRIAGE AND FAMILY COUNSELING AND SEX THERAPY CENTER, PC
Entity Type:Organization
Organization Name:AFFIRMING MARRIAGE AND FAMILY COUNSELING AND SEX THERAPY CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:REHOR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:619-456-0830
Mailing Address - Street 1:3914 MURPHY CANYON RD STE A201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4423
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3914 MURPHY CANYON RD STE A201
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4423
Practice Address - Country:US
Practice Address - Phone:619-456-0830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty