Provider Demographics
NPI:1902016942
Name:MORRISON, NANCY-GENE WARNER (MA,LMFT, ATR-BC)
Entity Type:Individual
Prefix:
First Name:NANCY-GENE
Middle Name:WARNER
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MA,LMFT, ATR-BC
Other - Prefix:
Other - First Name:NANGEE
Other - Middle Name:WARNER
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMFT, ATR-BC
Mailing Address - Street 1:8632 S SEPULVEDA BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-4013
Mailing Address - Country:US
Mailing Address - Phone:310-335-2555
Mailing Address - Fax:310-410-4082
Practice Address - Street 1:8632 S SEPULVEDA BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-4013
Practice Address - Country:US
Practice Address - Phone:310-335-2555
Practice Address - Fax:310-410-4082
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 30911106H00000X
ATR-BC 91-082221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist