Individual provider · Type 1 NPI

Tracy Leann Boase, AMFT-126136

Marriage & Family Therapist · Pomona, CA

NPI number 1154092559 Active

Practice location

2008 N Garey Ave
Pomona, CA 91767-2722

Other practice locations

  • 1444 E 13th St, Upland, CA 91786-2801 · (909) 269-2727

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X126136 (CA)
Marriage & Family Therapist Primary 106H00000X126136 (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 1154092559

Tracy Leann Boase, AMFT-126136's National Provider Identifier is 1154092559, issued on Sep 24, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Pomona, CA. The record was last updated on May 20, 2022.