Provider Demographics
NPI:1992023253
Name:LIN, WEILI CHIAO (LMFT)
Entity Type:Individual
Prefix:
First Name:WEILI
Middle Name:CHIAO
Last Name:LIN
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 1:595 E COLORADO BLVD STE 403
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2018
Mailing Address - Country:US
Mailing Address - Phone:626-341-0900
Mailing Address - Fax:626-257-7392
Practice Address - Street 1:595 E COLORADO BLVD STE 403
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2018
Practice Address - Country:US
Practice Address - Phone:626-341-0900
Practice Address - Fax:626-257-7392
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88867106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist