person
Preston Lee Herdt, LMFT
Marriage & Family Therapist in San Diego, California
NPI 1619598760

Preston Lee Herdt is a Marriage & Family Therapist based in San Diego, CA. Preston Lee Herdt practices in San Diego, CA and has the professional credentials of LMFT. The NPI Number for Preston Lee Herdt is 1619598760 and holds a License No. 10491 (California).

The current practice location address for Preston Lee Herdt is 12396 World Trade Dr Ste 109, San Diego, CA and can be reached out via phone at 619-630-8033.

Location: 12396 World Trade Dr Ste 109, San Diego, CA, 92128-3787
person
Provider Profile Details
NPI Number
1619598760
Provider Name
Preston Lee Herdt
Credential
LMFT
Provider Entity Type
Individual
Gender
Male
Address
12396 World Trade Dr Ste 109, San Diego, CA, 92128-3787
Phone Number
619-630-8033
Fax Number
Provider Enumeration Date
04/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
128647 01 CA AMFT
10491 01 CA APCC
143009 01 CA LMFT
institution
Provider Business Practice Location Address Details
Address
12396 World Trade Dr Ste 109
City
State
Zip
92128-3787
Phone Number
619-630-8033
Fax Number
person
Provider Business Mailing Address Details
Address
12396 World Trade Dr Ste 109
City
State
Zip
92128-3787
Phone Number
619-630-8033
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
128647 (California)
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
License No.
10491 (California)
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.
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