Individual provider · Type 1 NPI

Jonathan Irving Ittarongk

Marriage & Family Therapist · Buena Park, CA

NPI number 1619437639 Active

Practice location

6301 Beach Blvd Ste 245
Buena Park, CA 90621-4031

Call (714) 736-0231 Map

Mailing address

22751 Sunrose St
Corona, CA 92883-8128

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XAMFT110248 (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 1619437639

Jonathan Irving Ittarongk's National Provider Identifier is 1619437639, issued on Mar 25, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Buena Park, CA. The record was last updated on Mar 25, 2019.