Individual provider · Type 1 NPI

Ida Lucille Whitaker

Marriage & Family Therapist · Escondido, CA

NPI number 1962994038 Active

Practice location

1002 E Grand Ave
Escondido, CA 92025-4605

Call (760) 741-2660 Map

Fax (760) 741-2647

Mailing address

615 Allison Ln
San Marcos, CA 92069-6516

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X100567 (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 1962994038

Ida Lucille Whitaker's National Provider Identifier is 1962994038, issued on Jun 4, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Escondido, CA. The record was last updated on Jun 4, 2018.