Provider Demographics
NPI:1659193100
Name:STRENGTHS BASED FAMILY THERAPY
Entity type:Organization
Organization Name:STRENGTHS BASED FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF STAFF
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLUSSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-522-1487
Mailing Address - Street 1:PO BOX 9226
Mailing Address - Street 2:
Mailing Address - City:CEDARPINES PARK
Mailing Address - State:CA
Mailing Address - Zip Code:92322-9226
Mailing Address - Country:US
Mailing Address - Phone:909-338-5807
Mailing Address - Fax:
Practice Address - Street 1:412 LONG BEACH AVE
Practice Address - Street 2:
Practice Address - City:CEDARPINES PARK
Practice Address - State:CA
Practice Address - Zip Code:92322-0133
Practice Address - Country:US
Practice Address - Phone:909-338-5807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty