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NPI Code Detail

MEDICARE: AMAYA TUELLER MARRIAGE AND FAMILY THERAPIST INC.

MEDICARE: AMAYA TUELLER MARRIAGE AND FAMILY THERAPIST INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1159607OTHERCALMFT

General Provider Information

NPI Number : 1346109287
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMAYA TUELLER MARRIAGE AND FAMILY THERAPIST INC.
Provider Business Mailing Address
First Line : 402 W BROADWAY STE 400
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-3554
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 402 W BROADWAY STE 400
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-3554
Country : US
Telephone Number : 619-320-5776
Fax Number :
Authorized Official
Title or Position : CEO/OWNER
Name : AMAYA TUELLER
Credential : LMFT
Telephone Number : 858-444-6834
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “AMAYA TUELLER MARRIAGE AND FAMILY THERAPIST INC. ” Practice Location

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