Individual provider · Type 1 NPI

Ja Lyn Nicole Edison

Marriage & Family Therapist · San Pedro, CA

NPI number 1386393064 Active

Practice location

1360 W 6th St
San Pedro, CA 90732-3514

Mailing address

PO Box 532
Bellflower, CA 90707-0532

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X139779 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone 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 1386393064

Ja Lyn Nicole Edison's National Provider Identifier is 1386393064, issued on Mar 21, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Pedro, CA. The record was last updated on Jan 18, 2024.