Individual provider · Type 1 NPI
Athanase Pavlidis, LMFT
Marriage & Family Therapist · Rancho Cucamonga, CA
Practice location
9850 19th St Apt 58
Rancho Cucamonga, CA 91737-4229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | MFC35112 (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 1912180407
Athanase Pavlidis, LMFT's National Provider Identifier is 1912180407, issued on Dec 7, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Dec 7, 2007.