MEDICARE: WTF MARRIAGE AND FAMILY THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1801765961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WTF MARRIAGE AND FAMILY THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 115
Second Line	:
City	:	MARINA
State	:	CA
Zip	:	93933-0115
Country	:	US
Telephone Number	:	669-257-2455
Fax Number	:

Provider Business Practice Location Address
First Line	:	68 RANCHO DR UNIT C
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95111-3479
Country	:	US
Telephone Number	:	669-257-2455
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MELENY HONTS
Credential	:	LMFT
Telephone Number	:	760-524-8593

Provider Enumeration Date	:	11/05/2025
Last Update Date	:	01/02/2026

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