# JEREMY LARSON MARRIAGE AND FAMILY THERAPY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063339174
- **Authorized official:** JEREMY LARSON LMFT, LPCC, CSAT (CEO/PRESIDENT)
- **Authorized official phone:** (562) 232-9688

## Contact information

- **Practice address:** 18122 CARMENITA RD UNIT 3643, CERRITOS, CA 90703-9998
- **Practice address phone:** (562) 232-9688
- **Mailing address:** 18122 CARMENITA RD UNIT 3643, CERRITOS, CA 90703-9998
- **Mailing address phone:** (562) 232-9688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2026
- **Last updated:** 09/29/2026