Individual provider · Type 1 NPI

George Lawrence Theisen Ii, MFT

Marriage & Family Therapist · San Bernardino, CA

NPI number 1285882092 Active

Practice location

1911 Commercenter E, Suite 101
San Bernardino, CA 92408-3454

Call (909) 381-3579 Map

Fax (909) 381-3501

Mailing address

PO Box 3544
Crestline, CA 92325-3544

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFC 41555 (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 1285882092

George Lawrence Theisen Ii, MFT's National Provider Identifier is 1285882092, issued on Sep 4, 2008. 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 May 13, 2009.