Individual provider · Type 1 NPI

Ellah Wallace, MFTI

Marriage & Family Therapist · Gardena, CA

NPI number 1740309194 Active

Practice location

130 W Victoria St
Gardena, CA 90248-3523

Call (310) 715-2020 Map

Mailing address

4785 Don Miguel Dr Apt 3
Los Angeles, CA 90008-4151

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XIMF 46459 (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 1740309194

Ellah Wallace, MFTI's National Provider Identifier is 1740309194, issued on Mar 28, 2007. 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 8, 2007.