Provider Demographics
NPI:1689474447
Name:VAL WAIAN FAMILY THERAPY, INC
Entity type:Organization
Organization Name:VAL WAIAN FAMILY THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VALDERENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DA PAIXAO PASSOS WAIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-537-9853
Mailing Address - Street 1:5755 OBERLIN DR STE 302
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-4717
Mailing Address - Country:US
Mailing Address - Phone:619-537-9853
Mailing Address - Fax:
Practice Address - Street 1:5755 OBERLIN DR STE 302
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-4717
Practice Address - Country:US
Practice Address - Phone:619-537-9853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty