Provider Demographics
NPI:1144590357
Name:NALITT, M.A., GINA M (LMFT)
Entity type:Individual
Prefix:MS
First Name:GINA
Middle Name:M
Last Name:NALITT, M.A.
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:M
Other - Last Name:NALITT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LMFT
Mailing Address - Street 1:3636 4TH AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-4294
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1007 JUSTINIAN ST SE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-5135
Practice Address - Country:US
Practice Address - Phone:858-585-9367
Practice Address - Fax:858-244-0990
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist