Individual provider · Type 1 NPI

Kwonta Phatiphong

Marriage & Family Therapist · Pomona, CA

NPI number 1003288564 Active

Practice location

2008 N Garey Ave
Pomona, CA 91767-2722

Call (909) 623-6131 Map

Mailing address

PO Box 1764
Chino Hills, CA 91709-0059

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X96278 (CA)

Marriage & Family Therapist: 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 ment…

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About NPI 1003288564

Kwonta Phatiphong's National Provider Identifier is 1003288564, issued on Oct 23, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Pomona, CA. The record was last updated on Jul 21, 2020.