Provider Demographics
NPI:1104846831
Name:LAWSCHA, THERESA P (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:P
Last Name:LAWSCHA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:THERESA
Other - Middle Name:PEREZ
Other - Last Name:LAWSCHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:2433 MAYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1335
Mailing Address - Country:US
Mailing Address - Phone:916-606-6030
Mailing Address - Fax:
Practice Address - Street 1:2865 CHURN CREEK RD STE A
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1117
Practice Address - Country:US
Practice Address - Phone:530-646-7269
Practice Address - Fax:530-275-2201
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84675106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist