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SHELLEY MARTIN LICENSED MARRIAGE AND FAMILY THERAPIST INC NPI 1548842081


NPI Information

NPI: 1548842081
Provider Name: SHELLEY MARTIN, LICENSED MARRIAGE AND FAMILY THERAPIST, INC

Other Name: SHELLEY MARTIN, LICENSED MARRIAGE AND FAMILY THERAPIST, INC

Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
9220 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (661) 303-6975
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SHELLEY MARTIN, LICENSED MARRIAGE AND FAMILY THERAPIST, INC is a marriage family therapist in Rancho Cucamonga, 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. SHELLEY MARTIN, LICENSED MARRIAGE AND FAMILY THERAPIST, INC NPI is 1548842081. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Shelley Martin, Licensed Marriage And Family Therapist, Inc.

The provider's business location address is:

9220 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA
ZIP 91730-551
Phone: (661) 303-6975
Fax: (951) 242-8741

The provider's authorized official is Shelley Martin .
The authorized official title is Lmft and has the following contact phone number (661) 303-6975.

The enumeration date for this NPI number is 4/24/2021 and was last updated on 4/28/2021.


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
1101YM0800XCounselorMental HealthNo
2106H00000XMarriage & Family TherapistYes

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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