Provider Demographics
NPI:1184937807
Name:SADD, CHRISA (LMFT)
Entity type:Individual
Prefix:MS
First Name:CHRISA
Middle Name:
Last Name:SADD
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 1:12711 VENTURA BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2476
Mailing Address - Country:US
Mailing Address - Phone:323-219-9291
Mailing Address - Fax:
Practice Address - Street 1:12711 VENTURA BLVD STE 160
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2476
Practice Address - Country:US
Practice Address - Phone:323-219-9291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 43482106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist