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 |
| 1 | 101YM0800X | Counselor | Mental Health | LCS18165 | CALIFORNIA | No |
| 2 | 101YM0800X | Counselor | Mental Health | MFC 22115 | CALIFORNIA | No |
| 3 | 101YM0800X | Counselor | Mental Health | MFC 25412 | CALIFORNIA | No |
| 4 | 101YM0800X | Counselor | Mental Health | MFC 24270 | CALIFORNIA | No |
| 5 | 101YM0800X | Counselor | Mental Health | LCS 20723 | CALIFORNIA | No |
| 6 | 101Y00000X | Counselor | | MFC4394 | CALIFORNIA | Yes |