# JOAN C. CONCANNON, MARRIAGE FAMILY THERAPIST

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

## Provider details

- **NPI number:** 1851412381
- **Authorized official:** JOAN C. CONCANNON L.M.F.T (MARRIAGE FAMILY THERAPIST)
- **Authorized official phone:** (818) 992-0245

## Contact information

- **Practice address:** 22231 MULHOLLAND HWY, SUITE 202, CALABASAS, CA 91302-5123
- **Practice address phone:** (818) 992-0245
- **Practice address fax:** (818) 992-0245
- **Mailing address:** PO BOX 622, WOODLAND HILLS, CA 91365-0622
- **Mailing address phone:** (818) 992-0245
- **Mailing address fax:** (818) 992-0245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFT20873 | CA | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/22/2020