Ime Attah

Individual provider Active NPI Marriage & Family Therapist · Alpine, CA

NPI 1144801010 · NPPES record last updated Apr 16, 2025

Key facts

NPI
1144801010
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
117473 (CA)
Practice address
2271 Alpine Blvd Ste a
Alpine, CA 91901-1101
Phone
(619) 448-1216
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
117473CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 117473 CA Yes

Addresses

Primary practice location

2271 Alpine Blvd Ste a
Alpine, CA 91901-1101

Mailing address

PO Box 1026
Lakewood, CA 90714-1026

Other providers in Alpine, CA

All providers in Alpine, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.