Organization · Type 2 NPI

Misty Mountain Phoenix Rising LLC

Marriage & Family Therapist · Newhall, CA

NPI number 1235803636 Active

Practice location

23550 Lyons Ave., Suite 211
Newhall, CA 91321-9132

Fax (661) 309-4677

Mailing address

22314 Canones Circle
Santa Clarita, CA 91350-2244

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

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 1235803636

Misty Mountain Phoenix Rising LLC's National Provider Identifier is 1235803636, issued on Aug 9, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Newhall, CA. The record was last updated on Aug 9, 2021.