Individual provider · Type 1 NPI

Gina-Marie Cimmarrusti Porter, MFTI, AT

Marriage & Family Therapist · Lake Forest, CA

NPI number 1962693762 Active

Practice location

22985 Ditz Ln
Lake Forest, CA 92630-4112

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	IMF 57337 (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 1962693762

Gina-Marie Cimmarrusti Porter, MFTI, AT's National Provider Identifier is 1962693762, issued on Aug 6, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Lake Forest, CA. The record was last updated on Aug 25, 2008.