Individual provider · Type 1 NPI

Ellen McCormack, LMFT

Marriage & Family Therapist · Los Angeles, CA

NPI number 1194170159 Active

Practice location

11949 Jefferson Blvd, Suite 106
Los Angeles, CA 90230-6336

Mailing address

PO Box 341802
Los Angeles, CA 90034-8870

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X85364 (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 1194170159

Ellen McCormack, LMFT's National Provider Identifier is 1194170159, issued on Apr 27, 2016. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 27, 2016.