Individual provider · Type 1 NPI

Jessica Blatt Ezor, LMFT #79983

Marriage & Family Therapist · Los Angeles, CA

NPI number 1689970964 Active

Practice location

1772 S Robertson Blvd
Los Angeles, CA 90035-4316

Mailing address

10541 Strathmore Dr
Los Angeles, CA 90024-2540

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XB4946538 (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 1689970964

Jessica Blatt Ezor, LMFT #79983's National Provider Identifier is 1689970964, issued on Feb 3, 2011. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 12, 2015.