Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Reavivo Marriage and Family Therapy Inc

Organization Mental Health Counselor · NPI 1750237806

Reavivo Marriage and Family Therapy Inc provides Mental Health Counselor services in LA Jolla, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3252 Holiday Ct Ste 201
LA Jolla, CA 92037-1808
Phone: (858) 209-4270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1750237806
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alondra Hernandez — Owner · (858) 209-4270
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address6059 Deerford Row, La Jolla, CA 92037-0904

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