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CLINIC FOR ASSESSMENTS AND NEEDS OF DEVELOPMENTALLY DELAYED INDIVIDUAL NPI 1134423858


NPI Information

NPI: 1134423858
Provider Name: CLINIC FOR ASSESSMENTS AND NEEDS OF DEVELOPMENTALLY DELAYED INDIVIDUAL

Doing Business As: C.A.N.D.D.I.

Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
4519 ADMIRALTY WAY
SUITE C
MARINA DEL REY, CA
ZIP 90292
Phone: (424) 259-2565
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CLINIC FOR ASSESSMENTS AND NEEDS OF DEVELOPMENTALLY DELAYED INDIVIDUAL is a marriage family therapist in Marina Del Rey, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. CLINIC FOR ASSESSMENTS AND NEEDS OF DEVELOPMENTALLY DELAYED INDIVIDUAL NPI is 1134423858. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As C.a.n.d.d.i..

The provider's business location address is:

4519 ADMIRALTY WAY
SUITE C
MARINA DEL REY, CA
ZIP 90292-441
Phone: (424) 259-2565

The provider's authorized official is Jennifer Marie Willemsen .
The authorized official title is Owner/marriage And Family Therapist and has the following contact phone number (424) 259-2565.

The enumeration date for this NPI number is 1/10/2011 and was last updated on 1/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistMFC 47315CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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