Individual provider · Type 1 NPI

Diane Perdomo

Marriage & Family Therapist · San Fernando, CA

NPI number 1306239371 Active

Practice location

11565 Laurel Canyon Blvd Ste 116
San Fernando, CA 91340-4650

Call (818) 590-3084 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLMFT111288 (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 1306239371

Diane Perdomo's National Provider Identifier is 1306239371, issued on Mar 13, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Fernando, CA. The record was last updated on Feb 19, 2019.