Individual provider · Type 1 NPI

Jacek Bernard Wysocki, LMFT

Marriage & Family Therapist · Los Angeles, CA

NPI number 1104165224 Active

Practice location

1031 W 34th St Ste 500
Los Angeles, CA 90089-2501

Call (213) 821-6500 Map

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLMFT101799 (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 1104165224

Jacek Bernard Wysocki, LMFT's National Provider Identifier is 1104165224, issued on Feb 8, 2013. 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 Nov 27, 2023.