Individual provider · Type 1 NPI

Alysa R. Azimov, LMFT

Marriage & Family Therapist · Newport Beach, CA

NPI number 1366580995 Active

Practice location

5001 Birch St
Newport Beach, CA 92660-2116

Call (714) 768-4455 Map

Fax (714) 832-2737

Mailing address

174 Pineview
Irvine, CA 92620-1926

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFC41530 (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 1366580995

Alysa R. Azimov, LMFT's National Provider Identifier is 1366580995, issued on Feb 3, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 8, 2007.