Doctor Name: | DINA MERRILL BLAKE |
NPI Number: | 1841418761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.F.T. |
License Number: | MFT33468 |
Business Practice Address: | 13405 Folsom Blvd Suite 220 Folsom, CA - 956304737 |
Business Phone Number: | 9169853737 |
Business Fax Number: | 9163575964 |
Mailing Address: | 13405 Folsom Blvd., Suite 220 FOLSOM |
State: | CA |
Postal Code: | 95630 |
Phone Number: | 9169853737 |
Fax Number: | 9163575964 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | MFT33468 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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. |