Individual provider · Type 1 NPI
Mickey Wilson, PhD, LMFT
Marriage & Family Therapist · Newport Beach, CA
Practice location
4000 Macarthur Blvd., East Tower, 6th Floor
Newport Beach, CA 92660-2543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Marriage & Family Therapist Primary | 106H00000X | 49203 (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 1669557641
Mickey Wilson, PhD, LMFT's National Provider Identifier is 1669557641, issued on Oct 26, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Newport Beach, CA. The record was last updated on Aug 16, 2021.