Individual provider · Type 1 NPI

Stacey Diane Tannenbaum, MA. L.M.F.T.

Marriage & Family Therapist · Burbank, CA

NPI number 1114056629 Active

Practice location

601 S Glenoaks Blvd, Suite 200
Burbank, CA 91502-1474

Call (818) 441-7800 Map

Mailing address

623 Ashland Ave, #5
Santa Monica, CA 90405-4537

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC33404 (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 1114056629

Stacey Diane Tannenbaum, MA. L.M.F.T.'s National Provider Identifier is 1114056629, issued on Mar 2, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Burbank, CA. The record was last updated on Jul 8, 2007.