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Diana Grace Mack
Marriage & Family Therapist in Glendale, California
NPI 1174958409

Diana Grace Mack is a Marriage & Family Therapist based in Culver City, CA. Diana Grace Mack practices in Glendale, CA. The NPI Number for Diana Grace Mack is 1174958409 and holds a License No. LCSW 73928 (California).

The current practice location address for Diana Grace Mack is 1540 E Colorado St, Glendale, CA and can be reached out via phone at 818-244-7257 and via fax at 818-243-5431.

Location: 1540 E Colorado St, Glendale, CA, 90230-4820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174958409
Provider Name
Diana Grace Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
1540 E Colorado St, Glendale, CA, 90230-4820
Phone Number
818-244-7257
Fax Number
818-243-5431
Provider Enumeration Date
09/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1540 E Colorado St
City
Glendale
State
California
Zip
91205-1514
Phone Number
818-244-7257
Fax Number
818-243-5431
person
Provider Business Mailing Address Details
Address
1540 E Colorado St
City
Glendale
State
California
Zip
91205-1514
Phone Number
818-244-7257
Fax Number
818-243-5431
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LCSW73928 (California)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
LCSW 73928 (California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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