Individual provider · Type 1 NPI

Blake Jorgensen, LMFT

Marriage & Family Therapist · San Rafael, CA

NPI number 1942703293 Active

Practice location

1 Saint Vincents Dr
San Rafael, CA 94903-1504

Mailing address

PO Box 780
Ross, CA 94957-0780

Other practice locations

  • 1 Saint Vincents Dr, San Rafael, CA 94903-1504 · (415) 507-2000

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X119308 (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 1942703293

Blake Jorgensen, LMFT's National Provider Identifier is 1942703293, issued on Mar 13, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Rafael, CA. The record was last updated on Jun 15, 2020.