Provider Demographics
NPI:1205531258
Name:MARRIAGE & FAMILY THERAPY BY CHRISTINA AMES-COTTO INC.
Entity type:Organization
Organization Name:MARRIAGE & FAMILY THERAPY BY CHRISTINA AMES-COTTO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:AMES-COTTO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:619-762-3665
Mailing Address - Street 1:6030 SANTO ROAD #133
Mailing Address - Street 2:STE 1
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-1196
Mailing Address - Country:US
Mailing Address - Phone:619-762-3665
Mailing Address - Fax:
Practice Address - Street 1:4861 ATLANTA DRIVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115
Practice Address - Country:US
Practice Address - Phone:619-762-3665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty