Individual provider · Type 1 NPI

Elsy Samantha Realsola

Marriage & Family Therapist · Pasadena, CA

NPI number 1689050106 Active

Practice location

2500 E Foothill Blvd Ste 300
Pasadena, CA 91107-7102

Call (626) 993-3000 Map

Mailing address

644 Cottonwood Ln
San Dimas, CA 91773-3611

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Marriage & Family Therapist Primary 106H00000XLMFT119413 (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 1689050106

Elsy Samantha Realsola's National Provider Identifier is 1689050106, issued on Aug 6, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Pasadena, CA. The record was last updated on Jul 9, 2020.