Individual provider · Type 1 NPI
Edmond L. Otis
Marriage & Family Therapist · Moreno Valley, CA
Practice location
26449 Bodega Ct
Moreno Valley, CA 92555-2461
Mailing address
1242 University Ave Ste 6-570
Riverside, CA 92507-8810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 31194 (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 1619681251
Edmond L. Otis's National Provider Identifier is 1619681251, issued on Jan 9, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jan 9, 2023.