Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Noah Menard, MAINMFT

Individual provider Marriage & Family Therapist · NPI 1629850375

Ethan Noah Menard, MAINMFT is a Marriage & Family Therapist in Tustin, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

17862 17th St Ste 107
Tustin, CA 92780-2170
Phone: (714) 823-4770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 142247 (CA)

Record details

NPI number1629850375
Entity typeIndividual (Type 1)
GenderMale
Credentials MAINMFT
Sole proprietorYes
NPI enumeratedOctober 17, 2023
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address35 Wightman Ct, Dana Point, CA 92629-4168

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