Provider Demographics
NPI:1578008470
Name:SOBEL, CLARE (LMFT)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:SOBEL
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 1:15130 VENTURA BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3372
Mailing Address - Country:US
Mailing Address - Phone:818-605-3956
Mailing Address - Fax:
Practice Address - Street 1:15130 VENTURA BLVD STE 206
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3372
Practice Address - Country:US
Practice Address - Phone:818-605-3956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90552106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist