Individual provider · Type 1 NPI

Kellie Mack Anderson, MFT

Marriage & Family Therapist · Tustin, CA

NPI number 1972637445 Active

Practice location

18302 Irvine Blvd, Ste. 300
Tustin, CA 92780-3435

Mailing address

2275 Arlington Dr
San Leandro, CA 94578-1132

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XLMFT 4401 (ID)
Marriage & Family Therapist Primary 106H00000XMFC 47389 (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 1972637445

Kellie Mack Anderson, MFT's National Provider Identifier is 1972637445, issued on Mar 15, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Tustin, CA. The record was last updated on Nov 8, 2013.