Provider Demographics
NPI:1598898009
Name:OBRIEN, SHERRIE L (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SHERRIE
Middle Name:L
Last Name:OBRIEN
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 1:3512 PACIFIC AVE
Mailing Address - Street 2:#2
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5752
Mailing Address - Country:US
Mailing Address - Phone:310-352-6422
Mailing Address - Fax:310-352-6480
Practice Address - Street 1:555 W REDONDO BEACH BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-1612
Practice Address - Country:US
Practice Address - Phone:310-352-6422
Practice Address - Fax:310-352-6480
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8013106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist