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ILISSA BANHAZL MFT
NPI 1528891777
Marriage & Family Therapist in Glendora, CA

Active since August 22, 2024
240 CRESCENT GLEN DR, GLENDORA, CA 91741(626) 664-5924 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ilissa Banhazl Mft NPPES

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

ILISSA BANHAZL MFT (NPI 1528891777) is an individual marriage & family therapist in Glendora, California, licensed in California (44737) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1528891777
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameILISSA BANHAZLCredential: MFT
Location Address240 CRESCENT GLEN DRGlendora, CA 91741-4016
Mailing Address240 Crescent Glen DrGlendora, CA 91741-4016 · (626) 664-5924
Phone(626) 664-5924
Sole ProprietorYes
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1528891777 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 · 44737
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.
240 CRESCENT GLEN DR, Glendora, CA 91741
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilissa Banhazl's NPI number?

The NPI number for Ilissa Banhazl is 1528891777. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Ilissa Banhazl located?

Ilissa Banhazl practices at 240 Crescent Glen Dr, Glendora, CA 91741. The listed phone number is (626) 664-5924.

What is Ilissa Banhazl's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Ilissa Banhazl was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.