Individual provider · Type 1 NPI

Peter John Radestock, PhD

Marriage & Family Therapist · Pasadena, CA

NPI number 1154447191 Active

Practice location

87 N Raymond Ave, #620
Pasadena, CA 91103-3932

Fax (626) 793-6949

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFC 23526 (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 1154447191

Peter John Radestock, PhD's National Provider Identifier is 1154447191, issued on Mar 21, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Pasadena, CA. The record was last updated on Jul 8, 2007.