Individual provider · Type 1 NPI

Brace Bacon

Marriage & Family Therapist · Los Angeles, CA

NPI number 1801505367 Active

Practice location

11710 San Vicente Blvd
Los Angeles, CA 90049-5006

Mailing address

1011 Palm Ave Apt 301
West Hollywood, CA 90069-4092

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

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 1801505367

Brace Bacon's National Provider Identifier is 1801505367, issued on Nov 23, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 23, 2022.