Healthcare Provider Details

I. General information

NPI: 1356178792
Provider Name (Legal Business Name): ENARA FAMILY COUNSELING P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 W LEXINGTON AVE STE A
EL CAJON CA
92020-4454
US

IV. Provider business mailing address

175 W LEXINGTON AVE STE A
EL CAJON CA
92020-4454
US

V. Phone/Fax

Practice location:
  • Phone: 619-573-1779
  • Fax: 619-573-1761
Mailing address:
  • Phone: 619-573-1779
  • Fax: 619-573-1761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: AZZAM TALHAMI
Title or Position: LMFT
Credential: MASTER IN COUNSELING
Phone: 619-573-1779