Provider Demographics
NPI:1154909059
Name:SHAIKH, ISRA (LPC, NCC)
Entity type:Individual
Prefix:
First Name:ISRA
Middle Name:
Last Name:SHAIKH
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 1ST ST APT C114
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-6626
Mailing Address - Country:US
Mailing Address - Phone:949-615-9262
Mailing Address - Fax:
Practice Address - Street 1:333 1ST ST APT C114
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-6626
Practice Address - Country:US
Practice Address - Phone:949-615-9262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health