Individual provider · Type 1 NPI

Lacy Elizabeth Utterback, IMF

Marriage & Family Therapist · San Diego, CA

NPI number 1457449787 Active

Practice location

11770 Bernardo Plaza Ct, Suite 260
San Diego, CA 92128-2422

Fax (858) 451-8453

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X44322 (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 1457449787

Lacy Elizabeth Utterback, IMF's National Provider Identifier is 1457449787, issued on Oct 11, 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 Jul 8, 2007.