Individual provider · Type 1 NPI

Theodora King, MFT INTERN

Marriage & Family Therapist · Indio, CA

NPI number 1962679688 Active

Practice location

47825 Oasis St
Indio, CA 92201-6950

Call (760) 863-8544 Map

Fax (760) 863-8587

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Marriage & Family Therapist Primary 106H00000XAMFT106002 (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 1962679688

Theodora King, MFT INTERN's National Provider Identifier is 1962679688, issued on May 12, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Indio, CA. The record was last updated on Mar 28, 2022.