Individual provider · Type 1 NPI

Krissella Lee Glennon-Boatright, LMFT #162992

Marriage & Family Therapist · Simi Valley, CA

NPI number 1265242622 Active

Practice location

6363 Alta Vista Ridge Rd
Simi Valley, CA 93063-4745

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	162992 (CA)
Professional Counselor	101YP2500X	16206 (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 1265242622

Krissella Lee Glennon-Boatright, LMFT #162992's National Provider Identifier is 1265242622, issued on Jan 8, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Simi Valley, CA. The record was last updated on Jun 11, 2026.