Individual provider · Type 1 NPI

Lisa Carroll Bode, LMFT, PhD

Marriage & Family Therapist · Tustin, CA

NPI number 1801457049 Active

Practice location

440 W 1st St Ste 203
Tustin, CA 92780-3018

Fax (909) 563-4933

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	LMFT24345 (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 1801457049

Lisa Carroll Bode, LMFT, PhD's National Provider Identifier is 1801457049, issued on Jun 27, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Tustin, CA. The record was last updated on Jun 27, 2019.