Individual provider · Type 1 NPI

Shayna Alyse Carroll

Marriage & Family Therapist · Pacoima, CA

NPI number 1649829474 Active

Practice location

11643 Glenoaks Blvd
Pacoima, CA 91331-1050

Fax (818) 890-7159

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Marriage & Family Therapist Primary 106H00000X115324 (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 1649829474

Shayna Alyse Carroll's National Provider Identifier is 1649829474, issued on Sep 4, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Pacoima, CA. The record was last updated on Oct 15, 2024.