Individual provider · Type 1 NPI

Stacy Kathryn Mutrynowski, LMFT

Marriage & Family Therapist · San Leandro, CA

NPI number 1831614866 Active

Practice location

2401 Merced St
San Leandro, CA 94577-4228

Call (510) 362-3553 Map

Fax (510) 618-5830

Mailing address

1025 Adason Dr
San Leandro, CA 94578-3613

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X130363 (CA)
Marriage & Family Therapist 106H00000X108812 (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 1831614866

Stacy Kathryn Mutrynowski, LMFT's National Provider Identifier is 1831614866, issued on Aug 10, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Leandro, CA. The record was last updated on Oct 31, 2022.