Healthcare Provider Details
I. General information
NPI: 1134931256
Provider Name (Legal Business Name): PAZAN INTEGRATIVE FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2025
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5290 OVERPASS RD STE 106
SANTA BARBARA CA
93111-2052
US
IV. Provider business mailing address
5290 OVERPASS RD STE 106
SANTA BARBARA CA
93111-2052
US
V. Phone/Fax
- Phone: 805-430-9582
- Fax:
- Phone: 805-430-9582
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHRYN
PAZAN
Title or Position: LMFT
Credential: MA
Phone: 760-585-5563