Individual provider · Type 1 NPI

Carly Port

Marriage & Family Therapist · Los Angeles, CA

NPI number 1629992334 Active

Practice location

11845 W Olympic Blvd Ste 1250W
Los Angeles, CA 90064-1149

Call (213) 557-1894 Map

Mailing address

PO Box 66759
Los Angeles, CA 90066-0759

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X164443 (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 1629992334

Carly Port's National Provider Identifier is 1629992334, issued on Aug 5, 2026. 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 Aug 5, 2026.