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Elsy Samantha Realsola
Marriage & Family Therapist in Pasadena, California
NPI 1689050106

Elsy Samantha Realsola is a Marriage & Family Therapist based in San Dimas, CA. Elsy Samantha Realsola practices in Pasadena, CA. The NPI Number for Elsy Samantha Realsola is 1689050106 and holds a License No. (California).

The current practice location address for Elsy Samantha Realsola is 2500 E Foothill Blvd Ste 300, Pasadena, CA and can be reached out via phone at 626-993-3000.

Location: 2500 E Foothill Blvd Ste 300, Pasadena, CA, 91773-3611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689050106
Provider Name
Elsy Samantha Realsola
Credential
Provider Entity Type
Individual
Gender
Female
Address
2500 E Foothill Blvd Ste 300, Pasadena, CA, 91773-3611
Phone Number
626-993-3000
Fax Number
Provider Enumeration Date
08/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 E Foothill Blvd Ste 300
City
Pasadena
State
California
Zip
91107-7102
Phone Number
626-993-3000
Fax Number
person
Provider Business Mailing Address Details
Address
2500 E Foothill Blvd Ste 300
City
Pasadena
State
California
Zip
91107-7102
Phone Number
626-993-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LMFT119413 (California)
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.
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