Provider Demographics
NPI:1407000581
Name:CANTIN, KERTTU RAUTIO (MA, MFT)
Entity Type:Individual
Prefix:
First Name:KERTTU
Middle Name:RAUTIO
Last Name:CANTIN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 E PACIFIC COAST HWY STE 210
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-6928
Mailing Address - Country:US
Mailing Address - Phone:714-745-1535
Mailing Address - Fax:
Practice Address - Street 1:4510 E PACIFIC COAST HWY STE 210
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-6928
Practice Address - Country:US
Practice Address - Phone:714-745-1535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-16
Last Update Date:2008-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44514101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health