Provider Demographics
NPI:1710718937
Name:JOSEPH A DELGADO LICENSED MARRIAGE AND FAMILY THERAPIST PROF CORP
Entity type:Organization
Organization Name:JOSEPH A DELGADO LICENSED MARRIAGE AND FAMILY THERAPIST PROF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:626-506-6847
Mailing Address - Street 1:2212 W CHANNING ST
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-1913
Mailing Address - Country:US
Mailing Address - Phone:626-506-6847
Mailing Address - Fax:
Practice Address - Street 1:2212 W CHANNING ST
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-1913
Practice Address - Country:US
Practice Address - Phone:626-506-6847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty