Individual provider · Type 1 NPI

Lacy Ann Wildenberg

Marriage & Family Therapist · Watsonville, CA

NPI number 1669722880 Active

Practice location

335 E Lake Ave
Watsonville, CA 95076-4826

Call (831) 728-6445 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X117285 (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 1669722880

Lacy Ann Wildenberg's National Provider Identifier is 1669722880, issued on Sep 14, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Watsonville, CA. The record was last updated on Jan 14, 2020.