Provider Demographics
NPI:1588138515
Name:INTEGRITY MARRIAGE AND FAMILY COUNSELING INC
Entity type:Organization
Organization Name:INTEGRITY MARRIAGE AND FAMILY COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-283-7000
Mailing Address - Street 1:1255 E VISTA WAY UNIT 111
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-4039
Mailing Address - Country:US
Mailing Address - Phone:760-283-7000
Mailing Address - Fax:
Practice Address - Street 1:3088 PIO PICO DR STE 203
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1965
Practice Address - Country:US
Practice Address - Phone:760-283-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-12
Last Update Date:2019-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty