Individual provider · Type 1 NPI

Destinee Nicole Gannuscio

Marriage & Family Therapist · La Habra, CA

NPI number 1265957518 Active

Practice location

101 Roscoe St
La Habra, CA 90631-4240

Mailing address

12966 Euclid St Ste 280
Garden Grove, CA 92840-9202

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist Primary 106H00000X133797 (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 1265957518

Destinee Nicole Gannuscio's National Provider Identifier is 1265957518, issued on Aug 8, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in La Habra, CA. The record was last updated on Aug 15, 2022.