Individual provider · Type 1 NPI

Thaddeus Peter Shafer

Marriage & Family Therapist · San Marino, CA

NPI number 1679443287 Active

Practice location

2400 Mission St # 208
San Marino, CA 91108-1632

Call (626) 765-1753 Map

Mailing address

PO Box 2032
Toluca Lake, CA 91610-0032

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	155389 (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 1679443287

Thaddeus Peter Shafer's National Provider Identifier is 1679443287, issued on Nov 8, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Marino, CA. The record was last updated on Nov 8, 2025.