Organization · Type 2 NPI

Angela K Wallace, MFT

Marriage & Family Therapist · Los Angeles, CA

NPI number 1629460274 Active

Practice location

554 S San Vicente Blvd Ste 200
Los Angeles, CA 90048-4651

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X45450 (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 1629460274

Angela K Wallace, MFT's National Provider Identifier is 1629460274, issued on Feb 19, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 19, 2015.