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Van Ethan Levy
Mental Health Counselor in San Diego, California
NPI 1366968802

Van Ethan Levy is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Van Ethan Levy practices in San Diego, CA. The NPI Number for Van Ethan Levy is 1366968802 and holds a License No. (California).

The current practice location address for Van Ethan Levy is 2220 Broadway, San Diego, CA and can be reached out via phone at 619-232-8126 and via fax at 619-232-8126.

Location: 2220 Broadway, San Diego, CA, 92103-4910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366968802
Provider Name
Van Ethan Levy
Credential
Provider Entity Type
Individual
Gender
Male
Address
2220 Broadway, San Diego, CA, 92103-4910
Phone Number
619-232-8126
Fax Number
619-232-8126
Provider Enumeration Date
08/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2220 Broadway
City
San Diego
State
California
Zip
92102-1926
Phone Number
619-232-8126
Fax Number
619-232-8126
person
Provider Business Mailing Address Details
Address
2220 Broadway
City
San Diego
State
California
Zip
92102-1926
Phone Number
619-232-8126
Fax Number
619-232-8126
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
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