Individual provider · Type 1 NPI

Wandalyn Lane, MA

Marriage & Family Therapist · San Bernardino, CA

NPI number 1003941915 Active

Practice location

1585 S D St, 101
San Bernardino, CA 92408-3257

Call (909) 388-2222 Map

Fax (909) 388-2220

Mailing address

1501 Hughes Way
Long Beach, CA 90810-1876

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed
Mental Health Counselor 101YM0800XNone listed

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 1003941915

Wandalyn Lane, MA's National Provider Identifier is 1003941915, issued on Feb 22, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Bernardino, CA. The record was last updated on Mar 11, 2019.