Individual provider · Type 1 NPI

Connie Vaillancourt

Marriage & Family Therapist · Sierra Madre, CA

NPI number 1043777279 Active

Practice location

49 S Baldwin Ave Ste E
Sierra Madre, CA 91024-2583

Call (310) 981-7292 Map

Mailing address

103 Esperanza Ave Apt F
Sierra Madre, CA 91024-2442

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X105154 (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 1043777279

Connie Vaillancourt's National Provider Identifier is 1043777279, issued on Feb 24, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Sierra Madre, CA. The record was last updated on Feb 24, 2019.