Provider Demographics
NPI:1497763825
Name:SILVERSTEIN, CHERYL E (MFT 8856)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:E
Last Name:SILVERSTEIN
Suffix:
Gender:F
Credentials:MFT 8856
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S. EL CAMINO REAL
Mailing Address - Street 2:# 205
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672
Mailing Address - Country:US
Mailing Address - Phone:949-369-6424
Mailing Address - Fax:949-361-8559
Practice Address - Street 1:800 S. EL CAMINO REAL
Practice Address - Street 2:# 205
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672
Practice Address - Country:US
Practice Address - Phone:949-369-6424
Practice Address - Fax:949-361-8559
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT8856101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health