Provider Demographics
NPI:1740223163
Name:MCDONALD, CHERI LYNN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:LYNN
Last Name:MCDONALD
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 1:1000 PASEO CAMARILLO
Mailing Address - Street 2:#130
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6021
Mailing Address - Country:US
Mailing Address - Phone:805-987-4411
Mailing Address - Fax:805-987-8455
Practice Address - Street 1:1000 PASEO CAMARILLO
Practice Address - Street 2:#130
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6021
Practice Address - Country:US
Practice Address - Phone:805-987-4411
Practice Address - Fax:805-987-8455
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27359106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist