Healthcare Provider Details

I. General information

NPI: 1710651211
Provider Name (Legal Business Name): SAGUARO FAMILY COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 W HUNTINGTON DR #30
ARCADIA CA
91007-3493
US

IV. Provider business mailing address

2355 WESTWOOD BLVD # 919
LOS ANGELES CA
90064-2109
US

V. Phone/Fax

Practice location:
  • Phone: 310-986-6387
  • Fax:
Mailing address:
  • Phone: 310-986-6387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA KAHN
Title or Position: PRACTICE OWNER
Credential: LMFT, PMH-C
Phone: 310-986-6387