Individual provider · Type 1 NPI

Jacob O. Wasonga, PhD, LMFT

Marriage & Family Therapist · Fort Worth, TX

NPI number 1861043713 Active

Practice location

1124 Galveston Ave Ste B
Fort Worth, TX 76104-4878

Call (210) 420-8117 Map

Mailing address

PO Box 592732
San Antonio, TX 78259-0186

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X203024 (TX)

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 1861043713

Jacob O. Wasonga, PhD, LMFT's National Provider Identifier is 1861043713, issued on Sep 23, 2019. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 14, 2020.