Healthcare Provider Details

I. General information

NPI: 1275043119
Provider Name (Legal Business Name): JOE TRINE GALINDO JR. LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOE T GALINDO

II. Dates (important events)

Enumeration Date: 10/05/2017
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 S KINNELOA AVE
PASADENA CA
91107-3853
US

IV. Provider business mailing address

36 S KINNELOA AVE
PASADENA CA
91107-3853
US

V. Phone/Fax

Practice location:
  • Phone: 626-844-3033
  • Fax: 626-844-3034
Mailing address:
  • Phone: 626-844-3033
  • Fax: 626-844-3034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number114189
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: