Individual provider · Type 1 NPI

Gayle Samples, MFT

Marriage & Family Therapist · San Dimas, CA

NPI number 1902193998 Active

Practice location

1100 W Covina Blvd
San Dimas, CA 91773-3203

Call (909) 599-5433 Map

Fax (909) 706-3099

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC40871 (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 1902193998

Gayle Samples, MFT's National Provider Identifier is 1902193998, issued on Jun 29, 2011. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Dimas, CA. The record was last updated on Jun 29, 2011.