Individual provider · Type 1 NPI

Jonathan Vickburg, LMFT

Marriage & Family Therapist · Los Angeles, CA

NPI number 1912348491 Active

Practice location

554 S San Vicente Blvd, Suite 110
Los Angeles, CA 90048-4647

Call (424) 832-6565 Map

Fax (424) 241-3120

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC50480 (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 1912348491

Jonathan Vickburg, LMFT's National Provider Identifier is 1912348491, issued on Jul 11, 2013. 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 Feb 11, 2014.