Provider Demographics
NPI:1225365521
Name:FERREN, SUSAN RINA (LMFT)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:RINA
Last Name:FERREN
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 1:20331 BLUFFSIDE CIR # A402
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-8524
Mailing Address - Country:US
Mailing Address - Phone:714-594-3433
Mailing Address - Fax:
Practice Address - Street 1:20331 BLUFFSIDE CIR # A402
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-8524
Practice Address - Country:US
Practice Address - Phone:714-594-3433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 46725106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist