Individual provider · Type 1 NPI

Lisette E. Banuelos, MFTI

Marriage & Family Therapist · Inglewood, CA

NPI number 1053550962 Active

Practice location

111 N La Brea Ave
Inglewood, CA 90301-1752

Call (310) 677-7808 Map

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone 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 1053550962

Lisette E. Banuelos, MFTI's National Provider Identifier is 1053550962, issued on Feb 17, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Inglewood, CA. The record was last updated on Feb 17, 2009.