Individual provider · Type 1 NPI

Gina Rose Dinwiddie

Marriage & Family Therapist · Los Angeles, CA

NPI number 1942054515 Active

Practice location

5630 Venice Blvd # 1172
Los Angeles, CA 90019-5127

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLMFT164740 (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 1942054515

Gina Rose Dinwiddie's National Provider Identifier is 1942054515, issued on Apr 11, 2024. 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 Sep 24, 2026.