Individual provider · Type 1 NPI

Allegra Lange

Marriage & Family Therapist · San Bernardino, CA

NPI number 1194072769 Active

Practice location

600 N Arrowhead Ave
San Bernardino, CA 92401-1164

Call (909) 522-4656 Map

Fax (909) 763-5525

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XIMF 80332 (CA)
Marriage & Family Therapist Primary 106H00000X117287 (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 1194072769

Allegra Lange's National Provider Identifier is 1194072769, issued on Aug 13, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 5, 2020.