Individual provider · Type 1 NPI
Jennifer Blair Tannenbaum, LMFT
Marriage & Family Therapist · Los Angeles, CA
Practice location
3569 Vinton Ave Apt 108
Los Angeles, CA 90034-4868
Mailing address
29302 Laro Dr
Agoura Hills, CA 91301-1608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 129287 (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 1902565351
Jennifer Blair Tannenbaum, LMFT's National Provider Identifier is 1902565351, issued on Dec 13, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 13, 2021.