Provider Demographics
NPI:1649842394
Name:FARRER, REED CAMERON (LMFT)
Entity type:Individual
Prefix:MR
First Name:REED
Middle Name:CAMERON
Last Name:FARRER
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 1:4222 MILDRED AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-6115
Mailing Address - Country:US
Mailing Address - Phone:310-383-1846
Mailing Address - Fax:
Practice Address - Street 1:4222 MILDRED AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-6115
Practice Address - Country:US
Practice Address - Phone:310-383-1846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122656106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist