Individual provider · Type 1 NPI

Margaret Wallace

Marriage & Family Therapist · Tarzana, CA

NPI number 1629462718 Active

Practice location

18344 Clark St Ste 205
Tarzana, CA 91356-3575

Mailing address

5457 Laurel Canyon Blvd Apt 206
Valley Village, CA 91607-2191

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X102949 (CA)
Marriage & Family Therapist Primary 106H00000XMFTI79653 (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 1629462718

Margaret Wallace's National Provider Identifier is 1629462718, issued on Mar 26, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Tarzana, CA. The record was last updated on Sep 19, 2020.