Provider Demographics
NPI:1265526172
Name:ALBERT, MARK ANDREW (LMFT)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:ANDREW
Last Name:ALBERT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23123 VENTURA BLVD.
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364
Mailing Address - Country:US
Mailing Address - Phone:818-513-9342
Mailing Address - Fax:818-225-7547
Practice Address - Street 1:23123 VENTURA BLVD.
Practice Address - Street 2:SUITE 203
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364
Practice Address - Country:US
Practice Address - Phone:818-513-9342
Practice Address - Fax:818-225-7547
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 35547106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist