Individual provider · Type 1 NPI

Le Ann Tisdale, MFT

Marriage & Family Therapist · San Jose, CA

NPI number 1124230859 Active

Practice location

1777 Hamilton Ave, Ste 212
San Jose, CA 95125-5430

Call (408) 266-5800 Map

Fax (408) 266-5809

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X19817 (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 1124230859

Le Ann Tisdale, MFT's National Provider Identifier is 1124230859, issued on May 4, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.