Provider Demographics
NPI:1922614817
Name:GKOTSI, CHRYS (LMFT)
Entity Type:Individual
Prefix:
First Name:CHRYS
Middle Name:
Last Name:GKOTSI
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 1:4430 PARK ALISAL
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1756
Mailing Address - Country:US
Mailing Address - Phone:818-222-6558
Mailing Address - Fax:
Practice Address - Street 1:4430 PARK ALISAL
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1756
Practice Address - Country:US
Practice Address - Phone:818-222-6558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
113638101YM0800X
CA113638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health