Individual provider · Type 1 NPI

Bianca Desiree Medina, LMFT

Marriage & Family Therapist · Los Angeles, CA

NPI number 1104306430 Active

Practice location

510 S Vermont Ave
Los Angeles, CA 90020-1912

Mailing address

421 W Broadway Apt 4156
Long Beach, CA 90802-9435

Other practice locations

  • 421 W Broadway Apt 4156, Long Beach, CA 90802-9435 · (213) 465-0880

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XPCC12746
Marriage & Family Therapist Primary 106H00000XMFT131584 (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 1104306430

Bianca Desiree Medina, LMFT's National Provider Identifier is 1104306430, issued on Aug 16, 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 Mar 1, 2024.