Individual provider · Type 1 NPI

Marilyn L. Tudor Bleak, MFT

Marriage & Family Therapist · Costa Mesa, CA

NPI number 1730400862 Active

Practice location

2900 Bristol Street, Suite J101
Costa Mesa, CA 92626

Call (949) 300-5228 Map

Fax (949) 833-1797

Mailing address

P.o. Box 18325
Irvine, CA 92623-9998

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC46562 (CA)
Marriage & Family Therapist 106H00000XMFC4656Z (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 1730400862

Marilyn L. Tudor Bleak, MFT's National Provider Identifier is 1730400862, issued on Jun 11, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Sep 1, 2010.