Individual provider · Type 1 NPI

Madison Omholt, PHD., LMFT, SEP

Marriage & Family Therapist · San Diego, CA

NPI number 1972888113 Active

Practice location

131 W University Ave
San Diego, CA 92103-3021

Call (619) 519-1000 Map

Mailing address

PO Box 632951
San Diego, CA 92163-2951

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X50577 (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 1972888113

Madison Omholt, PHD., LMFT, SEP's National Provider Identifier is 1972888113, issued on Oct 19, 2011. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 19, 2011.