Individual provider · Type 1 NPI

Maryam Rasouli

Marriage & Family Therapist · Fullerton, CA

NPI number 1376931998 Active

Practice location

2601 E Chapman Ave Ste 102
Fullerton, CA 92831-3737

Call (657) 201-7508 Map

Mailing address

PO Box 52886
Irvine, CA 92619-2886

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	84366 (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 1376931998

Maryam Rasouli's National Provider Identifier is 1376931998, issued on Jan 5, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fullerton, CA. The record was last updated on Jan 5, 2015.