Individual provider · Type 1 NPI

Ivonne Thelma Campuzano

Marriage & Family Therapist · Los Angeles, CA

NPI number 1043786502 Active

Practice location

611 Wilshire Blvd, 9th Floor, Unit #574
Los Angeles, CA 90017

Mailing address

611 Wilshire Blvd 9th Fl, Unit #574
Los Angeles, CA 90017-4025

Other practice locations

  • 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 · (626) 296-8900
  • 66 Hurlbut St, Pasadena, CA 91105-4025 · (626) 441-4221
  • 66 Hurlbut St, Pasadena, CA 91105-4025 · (626) 441-4221

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XAMFT109225 (CA)
Marriage & Family Therapist 106H00000XAMFT109225 (CA)
Rehabilitation Practitioner 225400000XNone listed
Marriage & Family Therapist Primary 106H00000XLMFT123631 (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 1043786502

Ivonne Thelma Campuzano's National Provider Identifier is 1043786502, issued on Oct 22, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 11, 2024.