Elvin Lance Ahl, MS, MDIV
Individual provider Active NPI Marriage & Family Therapist · Carlsbad, CA
NPI 1982969085 · NPPES record last updated May 9, 2015
Key facts
- NPI
- 1982969085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 86028 (CA)
- Practice address
- 2782 Gateway Rd
Carlsbad, CA 92009-1730 - Phone
- (714) 222-0331
- NPI assigned
- Jul 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86028 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoration Therapy Center of SD, a MFT Corp | Marriage & Family Therapist | Current | Accepting new patients |
Locations
5650 El Camino Real
Ste 130
Carlsbad, CA 92008
Phone (714) 222-0331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 86028 | CA | Yes |
Addresses
Primary practice location
2782 Gateway Rd
Carlsbad, CA 92009-1730
Mailing address
1880 Key Largo Rd
Vista, CA 92081-7007
Phone (714) 222-0331
Other providers in Carlsbad, CA
- Ulysses Aguilar
- Yvette Janet Aguilar
- Jennifer Aguirre Garcia
- Ashley Agustin
- Abdul Wahid Ahad
- Angela Marie Bondoc Ahn
- Aira Tech Corp
- Lalitha Padmanabhan Aiyer
- Mahyar Ajir
- Kristy L Akins
All providers in Carlsbad, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.