Individual provider · Type 1 NPI

Victoria De Los Santos Mycue, LMFT

Marriage & Family Therapist · Fremont, CA

NPI number 1457418188 Active

Practice location

39400 Paseo Padre Pkwy, Kaiser Permanente, Niles Bldg
Fremont, CA 94538-2310

Call (510) 248-3866 Map

Mailing address

PO Box 3566
Berkeley, CA 94703-0566

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMCF40302 (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 1457418188

Victoria De Los Santos Mycue, LMFT's National Provider Identifier is 1457418188, issued on Jan 2, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fremont, CA. The record was last updated on Jul 8, 2007.