What is Teresa Pemberton's NPI number?

The NPI number assigned to this healthcare provider is 1104036565, enumerated as a individual on May 23, 2007.

Where is the provider located?

The provider is located at 2180 JOHNSON AVE SAN LUIS OBISPO, CA 93401 and the phone number is (805) 781-4997.

What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

TERESA MARIE PEMBERTON LMFT - NPI 1104036565 - Marriage & Family Therapist in San Luis Obispo, CA

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About Teresa Marie Pemberton Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA MARIE PEMBERTON LMFT (NPI 1104036565) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (47439) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1104036565

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTERESA MARIE PEMBERTONCredential: LMFT

Location Address2180 JOHNSON AVESan Luis Obispo, CA 93401-4513

Mailing Address2056 Willow DrLos Osos, CA 93402-2928

Phone(805) 781-4997

Sole ProprietorNo

Enumeration DateMay 23, 2007

Last NPPES UpdateSeptember 6, 2016

✔ NPI 1104036565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 47439

Definition

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 mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2180 JOHNSON AVE, San Luis Obispo, CA 93401

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