Individual provider · Type 1 NPI

Michelle Mai Phung

Marriage & Family Therapist · Fountain Valley, CA

NPI number 1700112968 Active

Practice location

10101 Slater Ave Ste 241
Fountain Valley, CA 92708-4723

Call (714) 378-2620 Map

Mailing address

2240 W Lincoln Ave Apt 103
Anaheim, CA 92801-6529

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XIMF 50737 (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 1700112968

Michelle Mai Phung's National Provider Identifier is 1700112968, issued on Oct 22, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fountain Valley, CA. The record was last updated on Aug 11, 2011.