MR. ANTHONIE ONTREAY ETIENNE LMFT NPI 1023428117

NPI Information

  • NPI: 1023428117
  • Provider Name: MR. ANTHONIE ONTREAY ETIENNE, LMFT
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14201 KENTWOOD BLVD STE 2
    VICTORVILLE, CA
    ZIP 92392
  • Phone: (442) 348-3822

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NPI Details

MR. Anthonie Ontreay Etienne, LMFT is a marriage family therapist in Victorville, 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. MR. Anthonie Ontreay Etienne, LMFT NPI is 1023428117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14201 KENTWOOD BLVD STE 2
VICTORVILLE, CA
ZIP 92392-472
Phone: (442) 348-3822
Fax: (442) 255-1126

The NPI 1023428117 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/29/2014 and was last updated on 6/12/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistLMFT138474CALIFORNIAYes
2101YP1600XCounselorPastoralNo
3103K00000XBehavior AnalystNo

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: 3/30/2025

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