Provider Demographics
NPI:1164011748
Name:SHERMAN, KRISTEN E (LMFT)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:E
Last Name:SHERMAN
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 1:11418 INGLEWOOD AVE UNIT 102
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-3846
Mailing Address - Country:US
Mailing Address - Phone:424-218-6867
Mailing Address - Fax:
Practice Address - Street 1:11418 INGLEWOOD AVE UNIT 102
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-3846
Practice Address - Country:US
Practice Address - Phone:424-218-6867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
CA130115106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health