Therese Mignon Clemente, MFT
Individual provider Active NPI Marriage & Family Therapist · Montrose, CA
NPI 1013573161 · NPPES record last updated May 14, 2019
Key facts
- NPI
- 1013573161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT110257 (CA)
- Practice address
- 2550 Honolulu Ave Ste 107
Montrose, CA 91020-1859 - Phone
- (818) 800-0279
- NPI assigned
- May 14, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT110257 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Counseling Center Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT110257 | CA | Yes |
Addresses
Primary practice location
2550 Honolulu Ave Ste 107
Montrose, CA 91020-1859
Mailing address
5928 Graciosa Dr
Los Angeles, CA 90068-3031
Phone (323) 271-8387
Other providers in Montrose, CA
- Sophia Chang
- Chat Room Speech-Language Pathology Apc
- Steven Chen
- Euodia W Choi
- Julia Paige Pengra Clarke
- Cynthia Louise Collins
- Continuum Advanced Care Inc
- Maryanne Cindy Cordes
- Couch Conversations Psychotherapy and Counseling, Inc.
- Crescenta Family Medical, Inc.
All providers in Montrose, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.