Provider Demographics
NPI:1760925515
Name:SCHWAN, CARLI (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:CARLI
Middle Name:
Last Name:SCHWAN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 ALHAMBRA BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4432
Mailing Address - Country:US
Mailing Address - Phone:916-542-1766
Mailing Address - Fax:
Practice Address - Street 1:801 ALHAMBRA BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4432
Practice Address - Country:US
Practice Address - Phone:916-542-1766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95774106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist