Individual provider · Type 1 NPI

Nick Keomahavong, IMF

Marriage & Family Therapist · Escondido, CA

NPI number 1669605663 Active

Practice location

17701 San Pasqual Valley Rd
Escondido, CA 92025-5301

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Marriage & Family Therapist Primary 106H00000XNone listed

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 1669605663

Nick Keomahavong, IMF's National Provider Identifier is 1669605663, issued on Aug 25, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Escondido, CA. The record was last updated on Apr 6, 2011.