Individual provider · Type 1 NPI
Pornphun Slayden
Marriage & Family Therapist · Winooski, VT
Practice location
20 Winooski Falls Way Ste 400
Winooski, VT 05404-2239
Mailing address
15305 Rayen St
North Hills, CA 91343-5117
Other practice locations
- 3580 Wilshire Blvd Ste 800, Los Angeles, CA 90010-2505 · (213) 637-5000
- 3580 Wilshire Blvd Ste 800, Los Angeles, CA 90010-2505 · (213) 637-5000
- 15305 Rayen St, North Hills, CA 91343 · (818) 892-3423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 123258 (CA) |
| Marriage & Family Therapist Primary | 106H00000X | 12789279-3902 (UT) |
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…
Another provider at this address
Other marriage & family therapist providers in Winooski
About NPI 1003335654
Pornphun Slayden's National Provider Identifier is 1003335654, issued on Sep 14, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Winooski, VT. The record was last updated on Sep 7, 2022.