Individual provider · Type 1 NPI

Carolyn L. Latta-Clark, MFT

Marriage & Family Therapist · San Bernardino, CA

NPI number 1871612945 Active

Practice location

780 E Gilbert St
San Bernardino, CA 92415-1003

Call (909) 387-7380 Map

Mailing address

12630 Perris St
Oak Hills, CA 92344-7859

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X42636 (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 1871612945

Carolyn L. Latta-Clark, MFT's National Provider Identifier is 1871612945, issued on Mar 28, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Bernardino, CA. The record was last updated on Apr 23, 2012.