Individual provider · Type 1 NPI

Lisa Jane Todd Petersen

Marriage & Family Therapist · Manhattan Beach, CA

NPI number 1013422906 Active

Practice location

515 N Sepulveda Blvd
Manhattan Beach, CA 90266-6748

Call (310) 429-6372 Map

Mailing address

1417 Manhattan Beach Blvd
Manhattan Beach, CA 90266-6116

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X103755 (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 1013422906

Lisa Jane Todd Petersen's National Provider Identifier is 1013422906, issued on Dec 13, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Manhattan Beach, CA. The record was last updated on Dec 13, 2017.