Individual provider · Type 1 NPI

Charles Ambrose Banzon, MFT

Marriage & Family Therapist · San Diego, CA

NPI number 1457422966 Active

Practice location

2130 National Ave
San Diego, CA 92113-2209

Fax (619) 269-0464

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X49126 (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 1457422966

Charles Ambrose Banzon, MFT's National Provider Identifier is 1457422966, issued on Nov 13, 2006. 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 Aug 27, 2024.