Doctor Name: | THEADORA GABRIELSON |
NPI Number: | 1285063248 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AMFT 000279 |
Business Practice Address: | 1640 Powers Ferry Rd Se Marietta, GA - 300675491 |
Business Phone Number: | 7703660066 |
Business Fax Number: | 7709889296 |
Mailing Address: | 2688 Ashford Rd Ne, ATLANTA |
State: | GA |
Postal Code: | 303193260 |
Phone Number: | 7703660066 |
Fax Number: | 7702161947 |
NPI Enumeration Date: | 11/10/2013 |
NPI Last Update Date: | 11/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | AMFT 000279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Marriage & Family Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |