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NPI Code Detail

MEDICARE: PARKFORD MARRIAGE AND FAMILY THERAPY, INC

MEDICARE: PARKFORD MARRIAGE AND FAMILY THERAPY, INC
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1831988450
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKFORD MARRIAGE AND FAMILY THERAPY, INC
Provider Business Mailing Address
First Line : 832 ROBINSON ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-2704
Country : US
Telephone Number : 562-533-8139
Fax Number :
Provider Business Practice Location Address
First Line : 200 E DEL MAR BLVD STE 160
Second Line :
City : PASADENA
State : CA
Zip : 91105-2507
Country : US
Telephone Number : 323-364-6274
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JENNIFER ALLCOTT PARKFORD
Credential :
Telephone Number : 562-533-8139
Provider Enumeration Date : 05/01/2025
Last Update Date : 05/09/2025

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Directions to “PARKFORD MARRIAGE AND FAMILY THERAPY, INC ” Practice Location

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