Individual provider · Type 1 NPI

Guy Tillman Baxstrum Jr., LMFT

Marriage & Family Therapist · Rancho Cucamonga, CA

NPI number 1972795482 Active

Practice location

9540 Center Ave Ste 100
Rancho Cucamonga, CA 91730-5840

Call (909) 980-2689 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLMFT53065 (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 1972795482

Guy Tillman Baxstrum Jr., LMFT's National Provider Identifier is 1972795482, issued on Aug 17, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Apr 13, 2015.