Individual provider · Type 1 NPI

Licia Wise, LMFT

Marriage & Family Therapist · Torrance, CA

NPI number 1679005581 Active

Practice location

21151 S Western Ave Ste 255
Torrance, CA 90501-1724

Call (310) 919-6815 Map

Mailing address

1302 E 3rd St, Apt. 24
Long Beach, CA 90802-3677

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	90769 (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 1679005581

Licia Wise, LMFT's National Provider Identifier is 1679005581, issued on Mar 30, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Torrance, CA. The record was last updated on Nov 21, 2018.