Provider Demographics
| NPI: | 1891500849 |
|---|---|
| Name: | PEDRO'S MARRIAGE & FAMILY COUNSELING INC. |
| Entity type: | Organization |
| Organization Name: | PEDRO'S MARRIAGE & FAMILY COUNSELING INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | PEDRO |
| Authorized Official - Middle Name: | ADRIAN |
| Authorized Official - Last Name: | CORTEZ-MCLAUGHLIN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LMFT |
| Authorized Official - Phone: | 650-308-5214 |
| Mailing Address - Street 1: | 1561 GORDON ST APT A |
| Mailing Address - Street 2: | |
| Mailing Address - City: | REDWOOD CITY |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 94061-2830 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 650-308-5214 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 647 VETERANS BLVD STE A |
| Practice Address - Street 2: | |
| Practice Address - City: | REDWOOD CITY |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 94063-1441 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 650-336-0054 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-02-07 |
| Last Update Date: | 2025-02-14 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Single Specialty |