Individual provider · Type 1 NPI

Donna Revae Mark

Marriage & Family Therapist · San Pedro, CA

NPI number 1871785782 Active

Practice location

921 S Beacon St
San Pedro, CA 90731-3740

Call (310) 984-3055 Map

Fax (310) 984-3066

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 1871785782

Donna Revae Mark's National Provider Identifier is 1871785782, issued on Aug 14, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Pedro, CA. The record was last updated on Oct 1, 2008.