Individual provider · Type 1 NPI

Jodi Blackley, L.M.F.T.

Marriage & Family Therapist · Fullerton, CA

NPI number 1124196555 Active

Practice location

2555 E Chapman Ave Ste 617
Fullerton, CA 92831-3621

Call (714) 992-4656 Map

Fax (714) 992-4673

Mailing address

733 E Chapman Ave
Fullerton, CA 92831-3805

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC41465 (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 1124196555

Jodi Blackley, L.M.F.T.'s National Provider Identifier is 1124196555, issued on Dec 1, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fullerton, CA. The record was last updated on Jul 8, 2007.