Provider Demographics
NPI:1649457722
Name:CUMMINGS, TAMALINA ELLEN (LMFT112753)
Entity type:Individual
Prefix:MS
First Name:TAMALINA
Middle Name:ELLEN
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:LMFT112753
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 HARRIS ST
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7617
Mailing Address - Country:US
Mailing Address - Phone:619-992-7002
Mailing Address - Fax:
Practice Address - Street 1:3825 HARRIS ST
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7617
Practice Address - Country:US
Practice Address - Phone:619-992-7002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT112753106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist