Individual provider · Type 1 NPI

Diana Grace Chilstrom, MA, MFT

Marriage & Family Therapist · Hesperia, CA

NPI number 1447654256 Active

Practice location

11776 Mariposa Road
Hesperia, CA 92345

Call (760) 956-2462 Map

Mailing address

11776 Mariposa Rd # 103
Hesperia, CA 92345-1622

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	IMF78275 (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 1447654256

Diana Grace Chilstrom, MA, MFT's National Provider Identifier is 1447654256, issued on Oct 22, 2014. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Hesperia, CA. The record was last updated on Nov 4, 2014.