Healthcare Provider Details

I. General information

NPI: 1598302697
Provider Name (Legal Business Name): KARA TIFFANY-ROBERTS, MA, MFT INDIVIDUAL, COUPLES, AND FAMILY THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2019
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32605 TEMECULA PKWY STE 207
TEMECULA CA
92592-6839
US

IV. Provider business mailing address

32605 TEMECULA PKWY STE 207
TEMECULA CA
92592-6839
US

V. Phone/Fax

Practice location:
  • Phone: 951-795-5828
  • Fax:
Mailing address:
  • Phone: 951-795-5828
  • 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: KARA TIFFANY-ROBERTS
Title or Position: OWNER
Credential: MA, MFT, LAADC
Phone: 951-795-5828