Provider Demographics
NPI:1144577784
Name:FOUND, GINA HEATHER (LMFT)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:HEATHER
Last Name:FOUND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11949 JEFFERSON BLVD
Mailing Address - Street 2:STE 106
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6336
Mailing Address - Country:US
Mailing Address - Phone:213-392-3081
Mailing Address - Fax:
Practice Address - Street 1:11949 JEFFERSON BLVD
Practice Address - Street 2:STE 106
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6336
Practice Address - Country:US
Practice Address - Phone:213-392-3081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53171106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist