| Allison M. Landa. Ma., Lmft | |
|
25096 Jefferson Ave Ste C4 Murrieta CA 92562-1705 | |
| (909) 268-0556 | |
| Not Available |
| Full Name | Allison M. Landa. Ma., Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 25096 Jefferson Ave Ste C4, Murrieta, California |
| Authorized Official Name and Position | Allison M Landa (OWNER) |
| Authorized Official Contact | 9092680556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allison M. Landa. Ma., Lmft 25096 Jefferson Ave Ste C4 Murrieta CA 92562-1705 Ph: () - | Allison M. Landa. Ma., Lmft 25096 Jefferson Ave Ste C4 Murrieta CA 92562-1705 Ph: (909) 268-0556 |
| NPI Number | 1386277135 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 07/03/2020 |
| Certification Date | 07/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386277135 | NPI | - | NPPES |
| CA140083 | Medicaid | CA | |
| CB226559 | Medicaid | CA | |
| 1780962043 | Other | CA | NPI1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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