Individual provider · Type 1 NPI

Carol Ellen Dafesh, LMFT

Marriage & Family Therapist · Hermosa Beach, CA

NPI number 1154832285 Active

Practice location

2401 Pacific Coast Hwy Ste 104
Hermosa Beach, CA 90254-2734

Mailing address

PO Box 171
Manhattan Beach, CA 90267-0171

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X44108 (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 1154832285

Carol Ellen Dafesh, LMFT's National Provider Identifier is 1154832285, issued on Oct 16, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Hermosa Beach, CA. The record was last updated on Dec 14, 2017.