Provider Demographics
NPI:1043738164
Name:GILCHRIST, DARIN (LMFT)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:
Last Name:GILCHRIST
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 1:4563 FERN VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-2236
Mailing Address - Country:US
Mailing Address - Phone:805-553-0266
Mailing Address - Fax:
Practice Address - Street 1:21051 WARNER CENTER LN STE 105
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6532
Practice Address - Country:US
Practice Address - Phone:818-610-3956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-08
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91260106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist