Individual provider · Type 1 NPI

Bonavy Som-Keo

Marriage & Family Therapist · Gardena, CA

NPI number 1730628363 Active

Practice location

14112 S Kingsley Dr
Gardena, CA 90249-3018

Call (310) 217-7312 Map

Other practice locations

  • 18350 Mount Langley St, Suite 140, Fountain Valley, CA 92708-6900 · (714) 450-4118

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist 106H00000XNone listed
Marriage & Family Therapist Primary 106H00000X145519 (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 1730628363

Bonavy Som-Keo's National Provider Identifier is 1730628363, issued on Feb 15, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Gardena, CA. The record was last updated on Jul 24, 2024.