Provider Demographics
NPI:1558609917
Name:ENGLISH, KERRY O'RENE (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:KERRY
Middle Name:O'RENE
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:O'RENE
Other - Last Name:SHERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4405 RIVERSIDE DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505
Mailing Address - Country:US
Mailing Address - Phone:310-717-2837
Mailing Address - Fax:
Practice Address - Street 1:4405 RIVERSIDE DR
Practice Address - Street 2:SUITE 206
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505
Practice Address - Country:US
Practice Address - Phone:310-717-2837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-19
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC52701106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist