Individual provider · Type 1 NPI

Mickey Liddeke

Marriage & Family Therapist · Murrieta, CA

NPI number 1043483928 Active

Practice location

24977 Washington Ave, Ste. K
Murrieta, CA 92562-9755

Call (951) 677-1470 Map

Fax (951) 677-3850

Mailing address

2311 Washington Ave., C110-223
Murrieta, CA 92564-2564

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFC44069 (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 1043483928

Mickey Liddeke's National Provider Identifier is 1043483928, issued on Apr 10, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Murrieta, CA. The record was last updated on Nov 20, 2009.