Individual provider · Type 1 NPI

Jack Ward Tallman, MFT/DAPA

Marriage & Family Therapist · Tustin, CA

NPI number 1366477325 Active

Practice location

17772 Irvine Blvd, Suite #101
Tustin, CA 92780-3256

Call (714) 836-1101 Map

Fax (714) 730-6670

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC24161 (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 1366477325

Jack Ward Tallman, MFT/DAPA's National Provider Identifier is 1366477325, issued on Jul 11, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Tustin, CA. The record was last updated on Jul 8, 2007.