Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Thea Lauren Farraj

Individual provider Mental Health Counselor · NPI 1992543243

Mrs. Thea Lauren Farraj is a Mental Health Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Phone: (619) 398-0355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 152390 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1992543243
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 19, 2024
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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