Individual provider · Type 1 NPI

Ethel Gannon

Marriage & Family Therapist · Los Alamitos, CA

NPI number 1528344504 Active

Practice location

11110 Los Alamitos Blvd Ste 213
Los Alamitos, CA 90720-3602

Call (562) 325-3899 Map

Mailing address

13531 Raceland Rd
La Mirada, CA 90638-2929

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC48157 (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 1528344504

Ethel Gannon's National Provider Identifier is 1528344504, issued on Oct 22, 2011. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Los Alamitos, CA. The record was last updated on Oct 22, 2011.