Provider Demographics
NPI:1801400692
Name:KLEIN, CAMERON (LMFT)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:KLEIN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 SANDAL WOOD PL
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-1333
Mailing Address - Country:US
Mailing Address - Phone:435-602-0185
Mailing Address - Fax:
Practice Address - Street 1:1825 SANDAL WOOD PL
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-1333
Practice Address - Country:US
Practice Address - Phone:435-602-0185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141836106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist