Provider Demographics
NPI:1255847042
Name:CHERIF, NASSIBA (LMFT)
Entity Type:Individual
Prefix:
First Name:NASSIBA
Middle Name:
Last Name:CHERIF
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:PO BOX 41761
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95841-0761
Mailing Address - Country:US
Mailing Address - Phone:916-827-1083
Mailing Address - Fax:
Practice Address - Street 1:2740 FULTON AVE STE 101-47
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-5108
Practice Address - Country:US
Practice Address - Phone:916-827-1083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-16
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101037106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist