Provider Demographics
NPI:1801179353
Name:EMERUWA-BURT, CELEN ONYEBUCHI (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CELEN
Middle Name:ONYEBUCHI
Last Name:EMERUWA-BURT
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 1:4736 W 118TH ST
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2143
Mailing Address - Country:US
Mailing Address - Phone:424-237-0033
Mailing Address - Fax:
Practice Address - Street 1:4736 W 118TH ST
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2143
Practice Address - Country:US
Practice Address - Phone:424-237-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA118691106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist