MS. MARLISA POBLANO


Address: 1359 N Grand Ave, Covina, CA 91724-1016
Phone: 2664302999

MS. MARLISA POBLANO (NPI# 1780718890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780718890
Entity Type Individual
Full Name MS. MARLISA POBLANO
Credential MFT
Practice Address 1359 N Grand Ave
Covina
CA 91724-1016
Mailing Address 396 S California Ave #2631
West Covina
CA 91793-3522
Practice Telephone 2664302999
Mailing Telephone 6264302999
Enumeration Date 2007-03-14
Last Update Date 2019-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist MFC46805 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1359 N GRAND AVE
City COVINA
State CA
Zip Code 91724-1016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356355614 Los Angeles County Department of Mental Health Clinic/Center 1359 N Grand Ave, Covina, CA 91724-1016 2006-07-29
1053918789 Paloma Saldana Counselor 1359 N Grand Ave, Covina, CA 91724-1016 2020-10-06
1821603929 Cassandra Lawson Student in an Organized Health Care Education/Training Program 1359 N Grand Ave, Covina, CA 91724-1016 2020-09-15
1831717750 Melissa Guadalupe Diaz Community Health Worker 1359 N Grand Ave, Covina, CA 91724-1016 2020-07-07
1518589266 County of Los Angeles Clinic/Center 1359 N Grand Ave, Covina, CA 91724-1016 2020-05-15
1841753514 Natalie I Vasquez Community Health Worker 1359 N Grand Ave, Covina, CA 91724-1016 2019-04-10
1467955203 Teri Ferrieri Counselor 1359 N Grand Ave, Covina, CA 91724-1016 2018-03-16
1366940611 John Matthew Adriatico Community Health Worker 1359 N Grand Ave, Covina, CA 91724-1016 2018-01-31
1720586563 Isabel G Romero Community Health Worker 1359 N Grand Ave, Covina, CA 91724-1016 2018-01-26
1679082515 Paul Gift Paseli Psychologist 1359 N Grand Ave, Covina, CA 91724-1016 2017-09-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902320922 Kimberly Suzanne Manzanares-mora Rehabilitation Practitioner 1359 North Grand Avenue, Covina, CA 91724 2017-08-01
1689194680 Cynthia Garcia Counselor 1359 N. Grand Ave., Covina, CA 91724 2017-06-21
1386191963 West Covina Group Corporation Residential Treatment Facility, Emotionally Disturbed Children 1274 Center Court Dr, #208, Covina, CA 91724 2016-09-01
1184094781 Veronica May Roberts Licensed Vocational Nurse 222 S. Wilson Ave, Covina, CA 91724 2015-09-25
1912216292 Joan Mendoza Social Worker 1338 Center Court Dr Ste 107, Covina, CA 91724 2010-10-04
1548583602 Lille-anne Nzeribe Rehabilitation Practitioner 1126 N. Grand Ave. Suite D, Covina, CA 91724 2010-03-03
1154534212 Verna L Lewis Marriage & Family Therapist 420 South Grand Ave., Covina, CA 91724 2007-05-07
1093937310 Heather Annn Pedevillano Specialist/Technologist 1805 E. Lomira Dr, Covina, CA 91724 2007-05-03
1669503579 Maritza Mercedes Reyes Rehabilitation Practitioner 1411 N. Grand Ave., Covina, CA 91724 2007-03-09
1417014085 Bernadette Luyun Guaring Bagay Dentist 984 E Badillo St, Suite E, Covina, CA 91724 2007-01-03
Find all providers in zip 91724

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326673914 Blu Alliance Counseling Center Marriage & Family Therapist 1109 W San Bernardino Rd Ste 150, Covina, CA 91722-4156 2020-03-04
1740759224 Diana Tuthill Hoover Marriage & Family Therapist 17829 E Benwood St, Covina, CA 91722-2613 2018-11-14
1467936674 Together Family Counseling Marriage & Family Therapist 1274 Center Court Dr Ste 112, Covina, CA 91724-3668 2018-09-24
1083087191 Marie Antonette Petitti Marriage & Family Therapist 100 S Citrus Ave Ste 206, Covina, CA 91723-2686 2015-11-11
1962880005 Karen Allan Marriage & Family Therapist 416 E Badillo St, Covina, CA 91723-2213 2015-05-08
1760739056 Raylene Elaine Angulo Marriage & Family Therapist 271 E. Workman St, Suite 101, Covina, CA 91723 2012-08-06
1033414586 Jeffrey Lee Mancaruso Marriage & Family Therapist 508-510 S Second Ave, Covina, CA 91723 2011-01-13
1255564613 Chong Yu Marriage & Family Therapist 1274 East Center Court Drive, #112, Covina, CA 91724-3668 2009-09-01
1427269315 B&a Professional Servicces Marriage & Family Therapist 150 N. Grand Ave. Suite 212, Covina, CA 91790 2007-05-24
1861601148 Bradford Lee Durian Marriage & Family Therapist 1406 N Grand Ave Apt L, Covina, CA 91724-1060 2007-05-22
Find all providers in COVINA

Competitor

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City COVINA
Zip Code 91724

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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