Individual provider · Type 1 NPI

Van Ethan Levy

Marriage & Family Therapist · San Diego, CA

NPI number 1366968802 Active

Practice location

2220 Broadway
San Diego, CA 92102-1926

Call (619) 232-8126 Map

Fax (619) 232-8126

Mailing address

3427 4th Ave
San Diego, CA 92103-4910

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Marriage & Family Therapist Primary 106H00000XNone listed
Mental Health Counselor 101YM0800XNone listed

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 1366968802

Van Ethan Levy's National Provider Identifier is 1366968802, issued on Aug 16, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 11, 2017.